How to Administer an IV piggyback Medication

Step-By-Step instruction on starting an IVPB medication and backpriming.
Today’s reference for this skill:
Taylor's Clinical Nursing Skills amzn.to/3h3OcbB
For everyday inspiration:
Instagram: / nurse.erica_youtube
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[@ciararoberts9786]

Great job! Love how real you are too and not robot-ish! Thank you!

[@norahsendi9636]

Thanks so much Nurse Erica, you have explained it very well.

[@yvetteantoine2653]

So helpful!!! Thank you for the details! Please keep posting

[@SoledadPacheco-sb7ez]

you explained this sooo clear......thank you

[@sabeeharozi7139]

Wow you explain it in details… I did not learn in class as much as I learn from you.❤

[@lexpreyes1276]

Wow, thank you! Excellent video!

[@sophiaforgada3749]

I can't believe I missed a whole semester of clinical and still haven't done this 😔😢... thank you for this video!!!

[@NurseErica]

I know a lot of nursing students are struggling with the idea that they haven't been at clinical. Try your best to keep watching videos and reading about the different skills. If your school has open lab, take advantage of it. Stay Positive

[@habibaroziboyeva1852]

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[@habibaroziboyeva1852]

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[@fatyrania1940]

Great explanation, thank you.

[@oluwaseunakinola1573]

Thank you for the lecture. The video is helpful

[@elsykurian2327]

Very clear instructions, 👌

[@khalidmahmood1219]

Thank you so much, it is really helpful.

[@gabbyfun5150]

thank you Erica, this vid is very helpful

[@tiffanyl1566]

Great job

[@jacquibeckett7103]

Thank you so much! That explained it so much better than class did!

[@Tamara-kt6bt]

Great job.thanks you make it easy.

[@hermionejeangranger6562]

thanks you're literally the best!

[@NurseErica]

Happy to help Hermione!

[@elaineruiz2968]

Awesome video

[@annetteuresti9559]

Thank you!! Very helpful 😁

[@NurseErica]

Happy to help!

[@donnabourget1028]

You are an unbelievableTeacher, thank you!

[@NurseErica]

I appreciate that. Hope your semester is going well.

[@donnabourget1028]

I graduated December 2019, but because I’m a caregiver to my elderly mother, I stayed home until November 2020! Your videos have been a wonderful refresher for me! Thank you so much!

[@NurseErica]

Donna thank you so much for sharing. I hope your mom is doing well. Kudos to you for continuing to study and educate yourself. Stay well!

[@nature_isle]

Superb! You are the best. I missed the back priming part because there was a glitch...

[@tabbyjoel7099]

Thumb up

[@kaitlintropper2061]

I got some kit to practice.

[@user-jk9io3ro7u]

❤❤

[@seahawksforever9504]

I still don't know how to backprime after watching your vid multiple times. Confusing. On to the next vid I guess

[@andreahayes8697]

Can you demonstrate how to flush a peripheral IV in the hand please thank you

[@ianshelton6662]

That secondary tubing was actually for the Baxter pump. BD makes tubing for Alaris.

[@NurseErica]

Thank you for your feedback. Actually this tubing can be used for Alaris pump, it's the exact tubing we use at two of the hospitals I worked for.

[@ianshelton6662]

@@NurseErica I know you currently work with Alaris pumps, but have you had any experience with The Baxter Sigma Spectrum IQ pump?

[@MaryamPirzada]

Thank you so much for this video! I have a question w regards to administering medication via gravity: when you're administering the secondary line via gtt/min, would you leave both the primary and secondary roller clamps open?

[@NurseErica]

Great question. If you are administering via gravity, the secondary roller clamp remains open and you control the rate with the primary tubing. Once the secondary is complete you must return to the primary rate using the primary roller clamp.

[@MaryamPirzada]

@@NurseErica Wow thank you so much, this makes sense!

[@kenyettalathers1806]

What do you set the primary to if they are not on continuous fluids?

[@almasanatomy5963]

For the method of priming the secondary tubing with the medication bag, when you're filling the drip chamber with that medication.. won't technically at the end of the infusion the drip chamber filled with medication not all infuse into the patient with means they would be missing some of the dose? I think that's why priming with the primary bag would be better?? IDK clarification would be so great hahaha

[@NurseErica]

Thank you for your question Alma. There will always be a little bit of medication left in the drip chamber and tubing, even if you prime with the primary, it is expected. But I understand your concern.

[@nieklennethjobuban5251]

Both primary and secondary clamp on the entire infusing time?

[@123marchello]

Ericka thank you so much for this - for the secondary line - could you guide infusion math calculations. Just some examples what yoi dee I’m the clinical setting. . Is the drip 💧 factor still 10?

[@NurseErica]

The drip factor is determined by the tubing you are using. If you are in the clinical area, the bag of tubing has the drip factor on it.

[@123marchello]

@@NurseErica Oh Thank you, Erica, 💞oh dear, I wrote that so fast that I mistyped it. Lol. 😂 I was just getting confused if I needed to put in a bag in 15 min, 30 minutes, or one hour. How to figure out the volume infused. We just learned about it, and it’s not clicking yet.

[@NurseErica]

I'm sorry, I'm not sure I am understanding your question. Can you give me an example

[@123marchello]

@@NurseErica It was in reference to the rate and time infused for secondary. I figures it out. So if I have a minibag of 50 ml to infuse in 15 minutes. My rate would be 200ml. If I have a minibag of 100ml and need to infuse it in 20 minutes, it would be 300ml. I was confused on the calculation, but now I get it. Have a great evening! am pumped it just clicked today.

[@jamaalcopeland88]

I TOTALLY MISSED BACK PRIMING, IS THERE A WORDED STEP BY STEP OF THAT,SOMEHOW,SOMEWHERE I GOT CONFUSED

[@NurseErica]

Hi Jamaal, backpriming is just another way to prime the tubing without having to use new IVPB tubing. When you get an opportunity, try to lower your secondary below your primary. This will cause the primary fluid to back prime into the secondary tubing, removing air or old medication.

[@tiarajasmin1915]

hi i had a question- so is the primary clamp closed during the whole process of adding the ivpb?

[@tiarajasmin1915]

when do we close or open the primary clamp when setting up the second ivpb using an infusion pump?

[@NurseErica]

Hi Luke, good assessment skills! Because my tubing is in the pump, I do not have to clamp the main tubing during this process. If you want to stop or hold the primary infusion, you simply press the "pause" button. You do not have to clamp the primary infusion roller clamp. Hope this helps! Be sure to subscribe for more helpful videos!

[@Johndoe-gn6mm]

Why do they call it Back Prime if you just prime the piggyback

[@NurseErica]

Back prime is when you place the secondary below the primary and use the primary to prime the secondary tubing.

[@BummyC]

Great job