Hello, I am glad you like it. Yes. The primary clamp is closed but not the slide clamp between the primary solution and the upper Y connector or the primary line.
The solution will enter your secondary bag and will dilute further the secondary solution. You will need to adjust the volume of the secondary infusion to administer all of it.
That is incorrect. The volume might me more than 50 mL but the medication added is the dose prescribed. So the final concentration may vary but the total volume of the bag needs to be administered.
When you do this, and you program the pump to administer 50mL (or whatever the secondary volume is supposed to be), you will end up not administering the full dose.
You are absolutely right! This is why, at the end of the administration, you should back prime an additional 15-20 mL and infuse that diluted solution. Some medication will remain in the secondary tubing but this amount is considered acceptable in my institution.
Yes but doing this you will administer MORE than the intended dose. IV bags are overfilled. Like a bag of magnesium your dose is 50mL, but the bag usually contains ~55-60mL. There is no reason not to just prime your secondary tubing with your medication, it avoids all these issues.
This is not true. There is never overfill of dose in the bag. The exact dose is added to the bag. The concentration changes slightly but to administer the full dose you need to administer the full bag.
@@Coniela1No… the bag is a set concentration. This is written very clearly on the bag (e.g. 4g/50mL). Just cut a bag open and see for yourself there is extra.
@@Coniela1 this is straight from the website of Braun, a major manufacturer of IV meds. “The overfill is required to compensate for the tolerance of the filling equipment, for the volume remaining in the container after use, and for water vapor transmission from the container. The overfill ensures the required volume of solution is present in the container and the concentration remains within specifications through the shelf life of the product.” It literally specifies that a 50 mL bag actually has 57 mL. And a 100mL bag has 109 mL.
You’ve taught me more than a whole clinical rotation shift, thanks 💜
Best comment ever! I will continue to make videos! Thank you 😁
Thank you, I have test tomorrow. Very very helpful!!
Thank you! The dye is a helpful visual.
This video helped so much! First video to actually make it so simple to understand!
Thank you for this. I didn't understand this initially but with the colors its is very clear.
I am glad it helped you!
Thank u it was so much easier to understand because of the dye!!
for years I had trouble with this , and you made it so much simpler , thank you!!
You're very welcome! It is amazing! Really glad it helped you.
Agree with elena- this simple video taught me more than a clinical educator in a whole 12 hour clinical shift. Thank you France.
This is so kind. Thank you!
Thank you! Very helpful.
Brilliantly simple. Thank you!
beautiful thank you. very simple. the blue coloring and audio helps
Thank you!
Thank you so much !
thank you
Thank you!
Thank you!!
Thank you!!!
Great!
Thank you soo much. the color difference really helped me understand. So when back priming the primary clamp is closed?
Hello, I am glad you like it. Yes. The primary clamp is closed but not the slide clamp between the primary solution and the upper Y connector or the primary line.
Omg 😱 very clear explanation
Glad it helped you!
After connecting the piggyback to the primary do we squeeze the fill chamber or not ?
No, the primary solution will fill it when you drop the bag. You just clamp the secondary tubing when half-2/3 full.
what happens if I overfill the secondary drip chamber?
The solution will enter your secondary bag and will dilute further the secondary solution. You will need to adjust the volume of the secondary infusion to administer all of it.
That is incorrect. The volume might me more than 50 mL but the medication added is the dose prescribed. So the final concentration may vary but the total volume of the bag needs to be administered.
What is the purpose of backpriming?
Allowing for a priming without any air bubbles and you ensure no medication is lost during the priming.
When you do this, and you program the pump to administer 50mL (or whatever the secondary volume is supposed to be), you will end up not administering the full dose.
You are absolutely right! This is why, at the end of the administration, you should back prime an additional 15-20 mL and infuse that diluted solution. Some medication will remain in the secondary tubing but this amount is considered acceptable in my institution.
Yes but doing this you will administer MORE than the intended dose. IV bags are overfilled. Like a bag of magnesium your dose is 50mL, but the bag usually contains ~55-60mL. There is no reason not to just prime your secondary tubing with your medication, it avoids all these issues.
This is not true. There is never overfill of dose in the bag. The exact dose is added to the bag. The concentration changes slightly but to administer the full dose you need to administer the full bag.
@@Coniela1No… the bag is a set concentration. This is written very clearly on the bag (e.g. 4g/50mL). Just cut a bag open and see for yourself there is extra.
@@Coniela1 this is straight from the website of Braun, a major manufacturer of IV meds. “The overfill is required to compensate for the tolerance of the filling equipment, for the volume remaining in the container after use, and for water vapor transmission from the container. The overfill ensures the required volume of solution is present in the container and the concentration remains within specifications through the shelf life of the product.” It literally specifies that a 50 mL bag actually has 57 mL. And a 100mL bag has 109 mL.
Thank you!