IV intravenous method

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        12:08 PM, August 16, 2006
      
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        The IV tubing must be long enough to reach from the top of the lamp across to my left 
        forearm ...prob.  eight feet.
      
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        It should be a 
      
      
        <b>10 drop per ml set</b>
      
      
        :  I believe its the
      
      
        <b> Baxter  Continu-Flo Solution Set with a Male Luer Lock Adapter</b>
      
      
        .
      
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        <b>106 inches long (2.7 meter</b>
      
      
        ).  It has an in-line filter.  It says Interlink System.  It has a spike at one end and 
        the luer lock at the other.
      
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        (The secondary medication sets have the right connectors but are TOO SHORT!  These are 
        intended for use with a main IV line to be plugged into
      
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        a side port.  There is, however, a separate 43 inch extension set that may enable you to 
        use the secondary med. set, if it is the only alternative.)
      
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        1)  use a 20 gauge intracath in your L forearm (the insyte auto...)   Also should have the 
        IV prep kit with a tourniquet and prep and op site.
      
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        to start it ... shave off all the hair,  wash it thoroughly, clease with alcohol or 
        betadine.
      
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        Apply tournequet.  Use diaper pail to catch blood and put chucks on the floor ... blood 
        all over the place.
      
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        How do you stop the blood once you are in?  Put on the little connector set (6 inch long 
        tubing called a T connector). This is really essential.
      
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        It is the answer to the question ... how do you disconnect the IV tubing with solution 
        from the intracath without getting blood all over the floor???
      
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        It supplies two answers:  1) it has a latex membrane over it that you spike with a little 
        connector that you place at the end of the IV tubing and also
      
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        2) in the course of the 6 inch T-connector tubing it has a slider cut-off that may be used 
        to interrupt flow.  It is essential.  
      
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        2)Irrigate it either with the ready filled 5 ml NS irrigation syringes OR use a 5 ml 
        syringe and fill it with a
      
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        NS from a 10 ml bottle of NS.
      
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        3) How do you grab the intracath?  Use a hemostat and clamp it to the narrowest portion of 
        the plastic sleeve (the portion that is abt 3mm dia); 
      
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        Now place the handle of the hemostat (the clamp handle) btwn your knees!  That will 
        stabilize it ... that is much better than
      
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        your mouth.  Take off your glasses first.
      
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        4)  Hang the 
      
      
        <b>250 ml IV bag (either D5W or NS ... </b>
      
      
        the 500 ml bag is too much fluid
      
      
        <b>) </b>
      
      
        from the lamp shade to get a pressure head.  
      
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        Spike it with an IV connector set and FLUSH the line before you connect it to the 
        intracath!!!  Flush it into the plastic wastebasket.
      
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        To connect the line to the intracath use a needless, blunt connector (abt 1 inch long) ... 
        luer lock to blunt connector that
      
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        you push thru the latex membrance on the 6 inch T-connector set.   Get the 250 ml bags 
        from IV room at Fremont (they don't seem to have 250 ml bags at Hayward).
      
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        5) Having irrigated the intracath, connect the IV tubing and run it at 1 drop per second  
        (use a macro drip = 10 drops per ml)
      
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        So 1 drop per second = 60 drops per minute = 6 ml per min = 240 ml in 40 mins.
      
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IV intravenous method

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