In australia, ive never seen a nurse burp a bag. I have cystic fibrosis and they always just set the pump to go for a certain amount of fluids. The machine automatically picks up if theres too much air and stops the infusion
We were taught to “burp” the bag in nursing school. This is to keep air from getting into the line, and yes the pump will beep and stop the infusion if there is air, but we try to keep it from needing to beep or stop so the medication can be infused without interruption. Also, when there is air in the line, the machine will beep and then it may wake the patient up and it will stop the medication until the nurse is able to fix it. It’s not something that is an absolute necessity but it can be very helpful for the nurses and patients to go ahead and prevent any kind of disruption in medication delivery or needing to fix the line later while the patient may be sleeping or with visitors etc.
One of my cats had kidney disease and I gave her fluids every day. I never burped the bag. I just made sure there was no air in the line before starting.
Hi nurse here! There’s actually 2 kinds of lines you can have with IV fluids. 1 kind is on a pump that regulates the flow of the fluid or Med you are given. The other kind is straight to gravity. We will often use fluids to gravity if we need to get them in fast. The method shown in the video is used for a bag connected to IV gravity tubing. This is method of priming the tubing is not to make sure air bubbles don’t get in the line. It is to make sure that when that bag fully runs out, the extra air in the bag doesn’t get into the line at the end. If that happens it is a much more tedious process to remove that air from the line when you hang your next bag. When you push out all that air at the beginning, that ensures that when that bag runs out you will still have you IV tubing primed without extra air in the line. Hope this helps!
All nurses need to see this. I have had some big bubbles in mine and I stopped it myself so I wouldn't get big air bubbles in my blood and have something serious happen.
🤦♀️ maybe get all the bubbles out before you start the drip. Air doesn't magically appear in the line. You probably didn't get the air bubbles at the ports
The air in the bag is to monitor how much fluid has been given and to infuse the full amount in the bag. This is accurate dosing if giving the full amount 1000ml. Side marking are in 100ml increments. If air is getting into the patient infusion line it’s not because of air in bag, it’s the incorrect level in the spike drip chamber. If the level is too low it can send some of the air in the drip chamber to the patient line. Drip chamber should be about 1/2 full, just enough to count the drops. Counting the drops use to be the old way of adjusting the infusion rate over a prolonged period of time, hours or day. FYI your body doesn’t suck in the fluid, gravity pushes it down, and that’s why the patient access needs to always be below the bag. When nurses take the air out of the bag they know the whole bag will be administered and don’t want to worry about checking on you at a specific time. Last ring if a IV pump is in place this is totally unnecessary. IV pumps need to see the change from fluid to air in the line or drip chamber (depending on model) to automatically stop when fully infused and is a safeguard built in to them. So no worries 😮
You’re supposed to leave the air in the bag so you can accurately measure how much has been administered. Without the air at the top of the bag, you can’t measure the fluid level in the bag itself.
ahhh that's why I kept getting bubbles!! I had one med that didn't need to be spiked (meaning it spilled on me) so I always spike my bags upside down now but it creates more bubbles! I'll try your burping method next time 💞
I usually just pop the tube in and close the rolling clamp before filling the chamber. After the chamber has been filled, open it up. Works like a charm ☺️
Exactly. I really only screw with sucking air out of bag if I'm setting up an art line. Straight up saline shut the clamp, fill the chamber, prime to the end and go.
@@trentt4170 I hang fluid to gravity a lot... just time it lol. Idk I guess I'm an old nurse now. I literally have only ever taken air out of a bag before hand for art lines.
No need to draw air out of the bag. Just run the fluid through the line, and the air comes out first. Even if you see little bubbles in the line, they are not able to get into the vein. The fluid goes in, not the air. If you wanted to get air into the blood vessel,it would have to be a large volume of air, pushed in with force by hand. Impossible for air to be dripped in with fluids running passively.
It IS actually quite hard for air to get into veins yesh Coming from someone trained and also awkwardly an ex heroin addict I was super neurotic for a while But yeah you're totally right
@@wilsonparker2832So sorry to hear you guys complain deeply about the Nclex exam won't be a problem to you anymore, if you work with someone like Clara. She helped me through my exam and I made it through.
EMT here, we do none of that 😂 It's pretty much spike the bag, full send and let it drip on the floor so we know there's no air. Feels so rudimentary compared to that method
If you are running the IV through a machine, which you should be, unless it is a trauma case, the machine will not allow the air through. Also, if you set your pump properly, it will stop before you get close to the air. I've been a nurse over a decade and have never had issues.
I had a pump malfunction once and fail to stop when the fluids were gone. By the time I realized it, the downstream portion of the line only had an inch or two of fluid left in it. Gravity or pump, I just prefer to burp the bag out of an abundance of caution (especially if I might need to sleep during an infusion, or if it’s going in a backpack where I can’t see it at a glance). I also find it easier to spike the bag upside down rather than hanging upright.
Alternatively if you're using an IV pump just set the amount to be infused at 50-100 mLs less than what's in the bag (depending on infusion rate), then the alarm will remind you early to switch out the bags before you even risk running out of fluid (since you typically end up wasting a bit its really only a good idea with stuff like maintenance NS or LR, you don't want to waste something like TPN so this is still a good technique to know)
You can and no nurse I work with does this, it's simply unnecessary. The air does never reach further than the drip chamber, it physically cannot reach the vein (has to do with pressure difference I think?).
The many times I've had bubbles when I've had fluids given to me. I mentioned it to a fee nurses and they said the bubbles are tiny they are OK won't got all the way through and when it's in the machiene they sometimes use will beep and stop of it detects any bubbles to large to be sent through.
Lmfao. This is standard in vet med 😂 The more I learn about human medicine, the more I know to befriend a vet tech and not a human nurse for the apocalypse 🤣 Though I do know a human nurse that's also a vet tech, so either way I win.
As an ex patient who went to the general hospital a lot for mental health when I was on drip I used to turn the little thing that stopped the fluid from going in my body to not allow treatment it annoyed fhe nurses but also if someone as tried to end their life than surely you don’t give them power to stop it.
You're lucky that the nurse only annoyed. Cause some antipsychotics are high alert, If it were my country the nurses will not hesitate to restrain the patient. 😥 Hope you doing well and stay healthy now 🙏💞
@@netithunti5993 thank you. It’s the same here (uk) it just depends if someone is actively trying to hurt themselves or someone else then they will be restrained I have many many times but if your just a risk than they just watch you (all the time)
@@Bracyteaker11 Ohh that's sounds half good half bad to me! You might felt really uncomfortable with those watch over pressure, but it's definitely better than restrained though. Glad you managed to take all of those! ☺️
I used to syringe suction all the air out. Nobody ever showed me this method. I’m not a nurse, but I’ve had many sick pets that were on IV fluids and I would take a needle and suck the air out.
I dont work in medicine so this may be a stupid question. But why dont manufacturers just sell their IV bags without air in them? :/ Would save you guys time, no?
Also! In a pharmacy perspective, IV techs fill up these bags with additional drugs like antibiotics. I work at a children’s hospital so we do this quite often because it dilutes these medications when added to these prefilled bags.
I’m sorry, I thought I had been around medicine long enough to know these things(born with spina bifida; I’m not a medical professional), but I guess not. What is so important about removing extra air from an iv bag?
Got any advice for difficult veins? Im not talking obese or old, I'm talking like severe iv heroin etc addicts Im really struggling with a guy and ge needs it since he has cancer and needs chemo etc Im normally really good But its so bad Please any of you guys who know help me!!!
Just wait till you look up how much salt is in one of those, and how many bags per day they give people, and how much salt youre supposed to ingest daily, 😁
If the nurse does it wrong, would that mean the bag might cause slight suction due to a pressure difference? I had an I.V. bag start to suck out my blood through the line when I was a kid, and that was just ~~pure trauma~~🎉
No there is no reverse pressure or "suction". The iv pump machine pushes fluid into your vein. If blood was going up the iv out of your body either 1: the iv pump was not running, or 2: the bag is not attached to the iv pump and the iv bag just ran out of fluid. The force of your heart pumping blood can slowly push a little bit of blood out of your body into the iv tubing if the iv is not clamped or does not have running fluid. The "burping" of the iv bag is not really necessary as the pumps we have nowdays wont pump if it detects air bubbles in the line.
@@alicetheoracle2351 Thanks for the explanation, I don't know much about the subject myself. It might have been the matter of the bag running dry, as I doubt they used IV pumps back then. :)
IV pumps have been around since the 1960s or more. They have been standard in even rural hospitals for over 20 years. All drugs and fluids have to be given with a pump for pediatric patients has been standard of care for 20 years.
Please youtubers, please...for heck sake PLEASE stop using that voice! I hate it, it's so unpleasant to my ears. I would much rather hear people's natural voice!!
“Just flush it and don’t buy a lottery ticket” 😂😂😂
IV fluids
Literally the only freaking comment I came here for
🍋
"baeg"
THAT'S WHAT IM SAYING! I couldn't tell if it was just me being a kiwi or if the ai voice actually sounded funny
The AI voice must be from the midwest. Possibly Wisconsin. 😂
That's just how we say it in Minnesota 😂
@@stephaniep4590also northwestern. Must be the Canadian influence 😂
@@ayastorm5507 As a Canadian, I'm not sorry.
In australia, ive never seen a nurse burp a bag. I have cystic fibrosis and they always just set the pump to go for a certain amount of fluids. The machine automatically picks up if theres too much air and stops the infusion
It’s not necessary even if you don’t use a pump, you just have to make sure the line doesn’t have any are bubbles before you connect it to the patient
It’s more of an emergency room thing.
This is when they free flow/drip, not using a pump.
We were taught to “burp” the bag in nursing school. This is to keep air from getting into the line, and yes the pump will beep and stop the infusion if there is air, but we try to keep it from needing to beep or stop so the medication can be infused without interruption. Also, when there is air in the line, the machine will beep and then it may wake the patient up and it will stop the medication until the nurse is able to fix it. It’s not something that is an absolute necessity but it can be very helpful for the nurses and patients to go ahead and prevent any kind of disruption in medication delivery or needing to fix the line later while the patient may be sleeping or with visitors etc.
One of my cats had kidney disease and I gave her fluids every day. I never burped the bag. I just made sure there was no air in the line before starting.
Hi nurse here! There’s actually 2 kinds of lines you can have with IV fluids. 1 kind is on a pump that regulates the flow of the fluid or Med you are given. The other kind is straight to gravity. We will often use fluids to gravity if we need to get them in fast. The method shown in the video is used for a bag connected to IV gravity tubing. This is method of priming the tubing is not to make sure air bubbles don’t get in the line. It is to make sure that when that bag fully runs out, the extra air in the bag doesn’t get into the line at the end. If that happens it is a much more tedious process to remove that air from the line when you hang your next bag. When you push out all that air at the beginning, that ensures that when that bag runs out you will still have you IV tubing primed without extra air in the line. Hope this helps!
You really should be watching your bags close enough to avoid running your lines dry, regardless. I was a nurse for 20 years, this was never an issue.
I never understood this voiceover😅 It’s like nails on a chalkboard
"Otherwise, you might have a MESH on your hands" had me ROLLING. Then she did me in with, "Just flush it and don't buy a lottery ticket." 🤣🤣😋❤
In 30 years of nursing I never did this or saw anyone do it.
All nurses need to see this. I have had some big bubbles in mine and I stopped it myself so I wouldn't get big air bubbles in my blood and have something serious happen.
Little bubbles are okay. If they are bigger then an inch you might have a problem. I see that you aren’t dead so they didn’t mess up 🙂
@@tristanmolina894I was literally thinking, "shit I should be hella dead" then because I just trust them every step of the way.
🤦♀️ maybe get all the bubbles out before you start the drip. Air doesn't magically appear in the line. You probably didn't get the air bubbles at the ports
@@jasminerathod9503an incompetent nurse has entered the chat
@@twothousandandchewhow are they incompetent for speaking about something their a professional in???
You only need to do this for art lines. There is zero reason to do this for regular IVFs.
I'm a retired nurse, if only I knew this.....sigh....it would have saved me so much time from iv pump alarms.
I'm a retired nurse too, and are you serious?
The air in the bag is to monitor how much fluid has been given and to infuse the full amount in the bag. This is accurate dosing if giving the full amount 1000ml. Side marking are in 100ml increments. If air is getting into the patient infusion line it’s not because of air in bag, it’s the incorrect level in the spike drip chamber. If the level is too low it can send some of the air in the drip chamber to the patient line. Drip chamber should be about 1/2 full, just enough to count the drops. Counting the drops use to be the old way of adjusting the infusion rate over a prolonged period of time, hours or day.
FYI your body doesn’t suck in the fluid, gravity pushes it down, and that’s why the patient access needs to always be below the bag.
When nurses take the air out of the bag they know the whole bag will be administered and don’t want to worry about checking on you at a specific time.
Last ring if a IV pump is in place this is totally unnecessary. IV pumps need to see the change from fluid to air in the line or drip chamber (depending on model) to automatically stop when fully infused and is a safeguard built in to them. So no worries 😮
The baaaygg! 😂
You’re supposed to leave the air in the bag so you can accurately measure how much has been administered. Without the air at the top of the bag, you can’t measure the fluid level in the bag itself.
I have never hung an iv bag that way.
I just squeeze the IV tubing chamber while the clamp is closed, then prime the tubing. Works just as well
Thank you, I was just about to say this
ahhh that's why I kept getting bubbles!! I had one med that didn't need to be spiked (meaning it spilled on me) so I always spike my bags upside down now but it creates more bubbles! I'll try your burping method next time 💞
I usually just pop the tube in and close the rolling clamp before filling the chamber. After the chamber has been filled, open it up. Works like a charm ☺️
Thanks it was I want to say 😂
Exactly. I really only screw with sucking air out of bag if I'm setting up an art line. Straight up saline shut the clamp, fill the chamber, prime to the end and go.
Same, but this is super helpful for gravity lines so it doesn’t fill the tubing with air near the end of the bag
@@trentt4170 I hang fluid to gravity a lot... just time it lol. Idk I guess I'm an old nurse now. I literally have only ever taken air out of a bag before hand for art lines.
I never knew Ai could have a Midwest accent
Im 19 and used to make 2 and 3 liter iv bags for the company Baxter so seeing them again makes me think of the good times I had there
Just spike the bag and be done with it
No need to draw air out of the bag. Just run the fluid through the line, and the air comes out first. Even if you see little bubbles in the line, they are not able to get into the vein. The fluid goes in, not the air. If you wanted to get air into the blood vessel,it would have to be a large volume of air, pushed in with force by hand. Impossible for air to be dripped in with fluids running passively.
It IS actually quite hard for air to get into veins yesh
Coming from someone trained and also awkwardly an ex heroin addict
I was super neurotic for a while
But yeah you're totally right
Obviously still don't aim for it
We use IV bags for cystoscopies. The times that new people have not rolled the ball and I go in and set up the line… only to find myself DRENCHED 😂😢
Oh my goodness the way you say "bag" lol 🎉
“Spike the baeg” 😂
Is this necessary?
@Susan Ariella You will pass Every one has their own season, just keep going, pray and believe you will receive.
Nclex test is really frustrating. I can't believe I failed again after studying so much.
@@wilsonparker2832So sorry to hear you guys complain deeply about the Nclex exam won't be a problem to you anymore, if you work with someone like Clara. She helped me through my exam and I made it through.
I have sat for NCLEX EXAM for the 4th time now and still failed, i guess license isn't meant for people like me
I don't think so
EMT here, we do none of that 😂 It's pretty much spike the bag, full send and let it drip on the floor so we know there's no air. Feels so rudimentary compared to that method
clamp first, spike, fill chamber, unclamp and flush.
The AI VOICE must be from the west coast lmao the way it says bag lol
As someone who has been connected to an I.V drip WAAAAAY more times than i would really prefer, this gave me flashbacks
If you are running the IV through a machine, which you should be, unless it is a trauma case, the machine will not allow the air through. Also, if you set your pump properly, it will stop before you get close to the air. I've been a nurse over a decade and have never had issues.
I had a pump malfunction once and fail to stop when the fluids were gone. By the time I realized it, the downstream portion of the line only had an inch or two of fluid left in it. Gravity or pump, I just prefer to burp the bag out of an abundance of caution (especially if I might need to sleep during an infusion, or if it’s going in a backpack where I can’t see it at a glance). I also find it easier to spike the bag upside down rather than hanging upright.
Are you from Minnesota? ❤️ got that baaaag goin' on girl 😂❤️
Alternatively if you're using an IV pump just set the amount to be infused at 50-100 mLs less than what's in the bag (depending on infusion rate), then the alarm will remind you early to switch out the bags before you even risk running out of fluid (since you typically end up wasting a bit its really only a good idea with stuff like maintenance NS or LR, you don't want to waste something like TPN so this is still a good technique to know)
I don't understand😅. Why should you get the air out of the bag? Can't you use it with the air in the bag?
You can and no nurse I work with does this, it's simply unnecessary. The air does never reach further than the drip chamber, it physically cannot reach the vein (has to do with pressure difference I think?).
You don’t need to do this
This is useful as the nhs nurses just thow the bag at you to do it your self
The many times I've had bubbles when I've had fluids given to me. I mentioned it to a fee nurses and they said the bubbles are tiny they are OK won't got all the way through and when it's in the machiene they sometimes use will beep and stop of it detects any bubbles to large to be sent through.
Holy crap imma use this
Besides the joke IV im trynna hide one in my house cause saving me hella time
Lmfao. This is standard in vet med 😂 The more I learn about human medicine, the more I know to befriend a vet tech and not a human nurse for the apocalypse 🤣 Though I do know a human nurse that's also a vet tech, so either way I win.
As an ex patient who went to the general hospital a lot for mental health when I was on drip I used to turn the little thing that stopped the fluid from going in my body to not allow treatment it annoyed fhe nurses but also if someone as tried to end their life than surely you don’t give them power to stop it.
You're lucky that the nurse only annoyed. Cause some antipsychotics are high alert, If it were my country the nurses will not hesitate to restrain the patient. 😥
Hope you doing well and stay healthy now 🙏💞
@@netithunti5993 thank you. It’s the same here (uk) it just depends if someone is actively trying to hurt themselves or someone else then they will be restrained I have many many times but if your just a risk than they just watch you (all the time)
@@Bracyteaker11 Ohh that's sounds half good half bad to me! You might felt really uncomfortable with those watch over pressure, but it's definitely better than restrained though. Glad you managed to take all of those! ☺️
@@netithunti5993 yeah that’s true. Thanks :)
I used to syringe suction all the air out. Nobody ever showed me this method. I’m not a nurse, but I’ve had many sick pets that were on IV fluids and I would take a needle and suck the air out.
I dont work in medicine so this may be a stupid question. But why dont manufacturers just sell their IV bags without air in them? :/ Would save you guys time, no?
you know how water balloons are much more fragile when there's no air in them? that's why!!
also there are no stupid questions only stupid answers !!
@@shroomii3414 Ah okay, that makes sense! Thank you for the answer 😊🙌
Also! In a pharmacy perspective, IV techs fill up these bags with additional drugs like antibiotics. I work at a children’s hospital so we do this quite often because it dilutes these medications when added to these prefilled bags.
Air free fluid bags are available, here in Switzerland at least. They are not the standard in my hospital, but we have them :)
As a pharmacy tech (I make IVs) you don't need to squish the bag...the syringe does it all for you😅
Good hack! Thank you@
What happens if you don’t and air is in it while giving it to a patient
Boy, it was a lottery day everyday when I worked in the ward if you forgot to close that chamber.
You have to clamp the IV tubing to first before spiking the bag. That way you have control of when the liquid goes in the tubing.
It depends on how you run it, pump vs gravity. And whether or not there is a fifter.
My favorite way
Genius!!
How do you get the air out of the drip chamber if you need to?
“Baeg”
Exact technique I use for my IVs for vet med
I’m sorry, I thought I had been around medicine long enough to know these things(born with spina bifida; I’m not a medical professional), but I guess not. What is so important about removing extra air from an iv bag?
Oh I understand. I feel ditsy.
Can you do the same with IV ABX bag???
Of course you can.
I had quite a few of those IV bags cpl yrs ago.
What??? I've never seen an IV fluid bag with air in it.
Got any advice for difficult veins? Im not talking obese or old, I'm talking like severe iv heroin etc addicts
Im really struggling with a guy and ge needs it since he has cancer and needs chemo etc
Im normally really good
But its so bad
Please any of you guys who know help me!!!
I use a syringe and blunt need to suck it out. Then put thr spike in and run the water through the tube.
Squeeze the baeg 😂
This ai voice is from the Midwest 😂
"Bæg"
40 yr Nurse here. Been doing this since day 1. Nothing new.
Just wait till you look up how much salt is in one of those, and how many bags per day they give people, and how much salt youre supposed to ingest daily, 😁
Why is the AI voice from Michigan
The bayg?
A lot of extra work for what exactly
This is the most unnecessarily dangerous thing I've ever seen. Are you trying to cause an air embolism??
Lmao u don't know anything 😭 the machine will beep and not work if there's air
This isn’t connected to a patient…
Who the duck is doing this and why
Aka prime.
This was most hilariously helpful video 😂😂😂😂
If the nurse does it wrong, would that mean the bag might cause slight suction due to a pressure difference?
I had an I.V. bag start to suck out my blood through the line when I was a kid, and that was just ~~pure trauma~~🎉
No there is no reverse pressure or "suction". The iv pump machine pushes fluid into your vein. If blood was going up the iv out of your body either 1: the iv pump was not running, or 2: the bag is not attached to the iv pump and the iv bag just ran out of fluid. The force of your heart pumping blood can slowly push a little bit of blood out of your body into the iv tubing if the iv is not clamped or does not have running fluid. The "burping" of the iv bag is not really necessary as the pumps we have nowdays wont pump if it detects air bubbles in the line.
@@alicetheoracle2351 Thanks for the explanation, I don't know much about the subject myself. It might have been the matter of the bag running dry, as I doubt they used IV pumps back then. :)
IV pumps have been around since the 1960s or more. They have been standard in even rural hospitals for over 20 years. All drugs and fluids have to be given with a pump for pediatric patients has been standard of care for 20 years.
@@kathrynhaarmann6824 I was 9 years old and scared out of my goshdarn mind, I doubt I noticed the pump at the time, if they had one.
🤣🤣🤣👍😁👍
Naw, ain't got time for that
Please youtubers, please...for heck sake PLEASE stop using that voice! I hate it, it's so unpleasant to my ears. I would much rather hear people's natural voice!!
Nardwar ai voice
Why though? What a waste of time. The air is from not priming your tubing properly.
.... "baig"....
It’s a bag
😮
I just.
Baeeg😆😆😆😆
Bayg
Bæg
Beeehhg
Baég
Not only are you annoying for using that voice but that pickle joke was the star
Squeeze the *beeeg*
A single air bubble can kill a patient
No actually it actually takes like 20 cc or more to cause any symptoms.
The body will absorb the air in the blood pretty fast.
No, not even close. Maybe stop watching Grey's Anatomy and stop thinking you know better than actual trained professionals
beg
That is literally common sense......
Like literally and literally because literally!!!
Lose the fake voice!
Yummy
If any of my nurses need this I don't want medical care. Wtf
We call medicine a practice because we are all learning all the time.
Bayg