Minimal infusion rates best practice

[Courtney Murphy]

I am a PICU nurse and some safety concerns have come up recently regarding the best and safest way to administer low infusion rates to our patients. This was specifically regarding vasopressin for DI run on a medfusion syringe pump at a rate of .01-1mL/hr. The question is what is the safest way to do this so that the medication is most accurately being delivered/ titrated with other medications infusing in the same line and dead space in the umbilical or central lines? Do you use a manifold or trifurcate with a carrier fluid? 

[offlabel]

How big is the kid? Yeah, a carrier with manifold is optimal for more uniform delivery if it isn't a dedicated infusion site, but if not just make the carrier/infusion some fraction of the hourly maintenance fluid rate. 

[Okami_CCRN, BSN, RN]

I work in adult critical care, typically we use a manifold in these situations with a carrier fluid at 10ml/hr if we are restricting IVF.