Secondary / Piggyback Infusions - Care Fusion Alaris GW Directions For Use Manual

Secondary / Piggyback Infusions

Secondary (or piggyback) Infusion mode is only available if configured, refer to Configurable Options section of this DFU.
Secondary Infusion mode is used to administer an intermittent fluid / drug solution e.g. 4 hourly antibiotic infusion using:
• A primary infusion set with an in-line check valve before the Y-Injection site e.g. 273-003 or 273-303E.
• A secondary infusion set e.g. 72213 or 72213N.
Primary fluid container must hang lower (approximately 20cm lower) than the secondary fluid container to allow
A
the secondary infusion to run. Primary infusion will restart on completion of the secondary infusion.
1. Set the primary infusion, but do not start (refer to 'Starting the Infusion' section of this DFU). If pump is running press
put pump on hold.
2. Prime Secondary Infusion set, following the instructions supplied.
3. Close the in-line clamp on the secondary set.
4. Connect secondary Infusion set into upper Y-injection site of the primary Infusion set.
5. Lower primary fluid container using extension hook supplied with the secondary Infusion set.
6. Press button and
l S
Rate / Volume
7. Enter required rate using the
8. Press button to scroll to VTBI.
e
9. Enter VTBI using the
hf
10. Open the in-line clamp on the secondary set.
11. Press button to scroll further, or press
e
12. Ensure the SEC (Secondary) indicator is lit.
Note: The infusion rate will automatically revert to the primary infusion rate when the secondary infusion is complete. On completion
of the primary infusion the pump will continue at Keep Vein Open rate (KVO) rate.
During primary / secondary infusion of 2 drugs into a single lumen line, it is essential to ensure drug / fluid
A
compatibility by consulting a drug compatibility chart or local pharmacist, prior to infusion.
The secondary set connects to the upper Y-connection on the primary Infusion set.
To set the Secondary Infusion the pump must be on
Secondary infusion rates above 270ml/h may cause simultaneous flow from secondary and primary fluid sources.
Typical Secondary Infusions:
Secondary Fluid Container
Usually a smaller container e.g.
50ml, 100ml, 200ml or 250ml.
In-line Clamp
e.g. roller clamp.
Secondary Infusion Set
e.g. 72213. Usually shorter
tubing to reach the Y-site on
the primary Infusion set.
Upper Y-Injection Site on
Primary Infusion Set.
will be displayed.
keys.
hf
keys.
button to start the secondary infusion.
d
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1000DF00430 Issue 4
Or VTBI / TIME
Enter VTBI using the
Press button to scroll to TIME.
e
Enter TIME using
or not running.
G
Extension Hook
Normally included with the secondary Infusion
set.
Primary Infusion set must hang lower to allow the
secondary infusion to run and primary infusion to
restart on completion of the secondary.
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Alaris® GW Volumetric Pumps
Secondary / Piggyback Infusions
keys.
hf
keys.
hf
IV Pole
Primary Fluid Container
Primary Infusion set
e.g. 273-003 with an upper Y-injection site.
In-line Clamp e.g Roberts clamp.
Check Valve
Prevents secondary infusions
from flowing back up the
primary Infusion set instead
of to the patient.
If using a flow sensor it must be
A
on the primary Infusion set.
d button to