Secondary / Piggyback Infusions; Typical Secondary Infusions - BD Alaris GW 800 Series 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
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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 l button and S
Rate / Volume
7 . Enter required rate using the
e
8 . Press button to scroll to VTBI .
9 . Enter VTBI using the hf
10 . Open the in-line clamp on the secondary set .
11 . Press e button to scroll further, or press
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
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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 .
hf keys .
keys .
d button to start the secondary infusion .
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Or VTBI / TIME
Enter VTBI using the
e
Press button to scroll to TIME .
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
hf keys .
hf keys .
IV Pole
Primary Fluid Container
Primary Infusion set
e .g . 273-003V 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
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on the primary Infusion set.
d button to