1 / 9

Contents & Uses of common IV fluid

Contents & Uses of common IV fluid. Simple JMS set. Indications – IV fluid administration crystalloid/ colloid 20 drops = 1ml Set up Assemble & hang from drip stand over sink Clamp the regulator Insertion pin into fluid bag Fill half the drip chamber Then expel all the air in the tubing

Download Presentation

Contents & Uses of common IV fluid

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Contents & Uses of common IV fluid

  2. Simple JMS set • Indications – IV fluid administration crystalloid/ colloid • 20 drops = 1ml • Set up • Assemble & hang from drip stand over sink • Clamp the regulator • Insertion pin into fluid bag • Fill half the drip chamber • Then expel all the air in the tubing • Problems – fluid emptied, air in tubing, full drip chamber • Limitations – rate limited by gravity / angio size / tube length, cannot give blood

  3. Factors affecting fluid flow rate Poiseuille's Law Calculation

  4. Factors affecting fluid flow rate • Resistance to fluid flow • eg tube length / diameter of CAIR clamp/ tubing size, • angiocath size, • fluid viscosity eg blood versus crystalloid • Pressure gradient • ie gravity • pressure bag etc, • Student practice • Use of flow regulator • Addition of thin extension tubing • Alter position (height) of bag • Compare different canulae: 24 / 20 / 16 gauges

  5. Pump set • Clamps / flow regulators to control flows • 2 piercing pins • Filter to filter out clot/ fragments when giving blood; drip chamber • Pump chamber (20 compression  500ml; 40 ml/each) • One-way ball valve • Tubing with larger calibre • Change every 24hrs

  6. Pump-set • Indications • Massive blood loss resuscitation eg trauma, surgery, severe burns, rapid rehydration etc • Rapid intravenous fluid administration • Administration of blood products • Limitations • Flow rate limit • Blood clot fragment • Change every 24hrs • 2 piercing ports  risk of administered incompatible fluid or drugs • Problem solving : Air in tubing, full chamber

  7. Burette Set - Indications • Administration of intravenous fluid • Paediatric patient • Administration of drugs • Antibiotics eg gentamicin, amikacin, vancomycin etc • Inotropes infusion : adrenaline, noradrenaline, dobutamine, dopamine • Phenytoin • MS practice • Use of reservoir chamber (Fill / prevent over fill) • Trap door (Purposed & how to open) • Drip chamber (setting up) • Control flow rates • Remark : • Burette 100 ml with flashback device, need to change every 48 hrs, 60 drops / ml

  8. 100ml Burette IV set • Set up • Clamp all clamps / regulators • Fill up the chamber to desired volume • Open distal clamps to expel air • Limitations • Not for blood product • Not for rapid infusion

  9. CVP manometer • Method • Connect simple set to Manometer & fluid reservoir • Fill up the system & manometer (red ball index) • Ensure catheter is not blocked or kinked • For Practice • priming manometer tubing & measuring fluid level • Landmarks • Need a zero point (right atrium) mid-axillary line 4th intercostals space supine • RA filling pressure  assess volume adequacy • Trend is more useful (importance of same position each time) • Complications : Air embolism, bleeding, sepsis

More Related