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Secondary (or piggyback) Infusion mode is only available if it has been configured.
The application of secondary infusions should be limited to the intermittent therapy of medications which are not sensitive to the total time
required to complete an infusion.
• Typically antibiotics may be infused using a secondary infusion, where the primary infusion is limited to maintenance
A
fluid . If intending to use the secondary infusion facility, the primary infusion should be a maintenance fluid only and is
not indicated for drug therapy .
• The application of secondary infusions for delivery of critical drugs, particularly those with a short half life, is NOT
indicated for use . These drugs should be administered through a dedicated pump channel .
• Dependent upon factors such as fluid viscosity, the secondary infusion rate, head height between the secondary and
primary fluid containers and the use of clamps, flow may occur from the primary fluid container during a secondary
infusion . This could result in drug remaining in the container at the end of the secondary infusion, delaying its delivery
for a period of time which is dependent upon the primary infusion rate . For example, a secondary infusion of 250ml
at 300ml/h could result in approximately 33ml remaining, requiring up to 25 minutes additional time to complete the
delivery, assuming a primary infusion rate of 80ml/h (and the use of a 72213N-0006 secondary infusion set and its
supplied extension hook) . Therefore it is recommended that flow sensors (if used) are disconnected from the pump during
secondary infusions .
• Regular monitoring for unexpected primary flow is recommended . If flow from the primary fluid container is not desired
during secondary infusion and/or the patient is sensitive to fluid balance, the clamp on the primary infusion set should be
closed . Check that no drops fall in the primary drip chamber .
• On completion of the primary infusion the pump will continue at Keep Vein Open rate (KVO) rate .
Setting up a secondary infusion:
1. Ensure Primary infusion has been setup in ml/h (rate > 0ml/h).
h
2. Press
to put the pump ON HOLD.
d
to access the OPTIONS screen.
3. Press
4. Select SECONDARY SETUP, press OK to confirm.
5. Select either NO DRUG NAME or DRUGS A-Z. Press OK to
confirm either selection.
6. Enter the secondary RATE using the
7. Press OK to confirm.
8. Set VTBI using the
a VTBI' section)
9. Press OK to confirm.
10. Review PRIMARY/SECONDARY setup summary.
11. If correct, press OK to continue, or BACK to adjust VTBI or RATE
of the SECONDARY mode.
Typical Secondary infusions:
IV Pole
Extension Hook (approx .26cm)
Normally included with the secondary Infusion set.
Primary fluid container must hang lower to allow the
secondary infusion to run and primary infusion to restart
on completion of the secondary infusion.
Primary Fluid Container
Primary Infusion set
e.g. 63420E with an upper Y-Site (SmartSite® Needle-Free Valve).
In-line Clamp
Check Valve
Prevents secondary infusions
from flowing back up the
primary Infusion set instead of
to the patient.
A
Ensure primary set has a backcheck
valve upstream from the Y-site .
Secondary (Piggyback) Infusions
f
keys.
f
keys. (Refer to 'Setting
1000DF00498 Issue 3
b
12. Press
to start the infusion in secondary mode.
An ADVISORY screen will be displayed - ENSURE SECONDARY
INFUSION SET OPEN.
13. Press OK to start infusing at the displayed rate.
Setting up a subsequent secondary infusion:
On completion of the secondary VTBI, the pump will
automatically transition to the primary infusion. (An audible
'BEEP' will be heard)
h
to place the primary infusion ON HOLD.
1. Press
2. Follow instructions 3 to 13 of 'Setting up a secondary infusion' .
2
1
Upper Y-Site (SmartSite® Needle-Free
Valve) on Primary Inf
A
Alaris®
GP
21/42
Secondary Fluid Container
Usually a smaller container e.g.
50ml, 100ml, 200ml or 250ml.
Secondary Infusion Set
e.g. 72213N-0006. Usually shorter
tubing to reach the Y-site on the
primary Infusion set.
In-line Clamp
e.g. roller clamp.
Set .
usion
The secondary set connects to the upper
Y-connection on the primary Infusion set .
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