What is a Y site on an IV line?
A y-site is an injection port on the side of an IV line. In tests for syringe compatibility, two already diluted drugs are combined in stated concentrations. What is the Y port on IV? Y-ports, also known as piggybacks, provide a second access point in patient IV tubing for additional IV medications to be given.
What is the IV drug compatibility chart based on?
IV Drug Compatibility Chart The IV drug compatibility chart is based on information from the Handbook of Injectable Drugs, 16th Edition, by Lawrence A. Trissel, FASHP, copyright 2010, American Society of Health-System Pharmacists. Incompatibilities are based on meeting any of the following criteria: • Additive Compatibility
What is Y-site compatibility?
Y-site Compatibility - A single drug that is administered simultaneously at a Y-site connection with another drug in a solution The compatibility information presented is based on one of four (4) ratings:
What is the Y-site compatibility of medications with three different parenteral nutrition formulas?
Primary literature regarding y-site compatibility of medications with three different parenteral nutrition formulas, 3-in-1, 2-in-1 and lipids alone was reviewed. When conflicting results were encountered the clinical strength was considered. When published data was not accessible Trissel's Handbook on Injectable Drugs2was used.
How to get a proper drip rate for a secondary med?
What is a Y port?
How to get a syringe out of a syringe?
How to swab Y port?
How to get medication out of tubing?
Can antibiotics be infused through a Y port?
Who is Roma Lightsey?
See 4 more
About this website
Y-site versus Piggyback - Patient Medications - allnurses
With a Y site, both drugs are infusing at the same time. With a piggyback, the primary drip stops while the secondary drug infuses, then resumes again when the secondary is finished, so even though there may be some mixing at the beginning and end of the secondary, they infuse mostly separately.
New grad IV question: Y site vs primary vs piggyback : r/nursing - reddit
Something I’m struggling with as a new nurse is deciding how to hang certain IV medications. Common ones on my floor are potassium, magnesium, iron, keppra, and antibiotics (zosyn, Vanco).
IV tubing port selection for Y-site - allnurses
Not every piece of IV tubing has more than one port. For instance, my pharmacy has the choice of purchasing macro gtt tubing with one port, which would be above the pump housing, for a secondary set, but then it has no other ports along the line.
IV Piggyback CHECK OFF Flashcards | Quizlet
State drug information including: 1. Drug action 2. Recommended dose 3. Common side effects 4. Contraindications 5. Nursing implications CHECK COMPATIBILITY OF THE PRIMARY IV SOLUTION WITH THE DRUG TO BE GIVEN VIA PIGGYBACK.
Y-site compatibility of medications with parenteral nutrition
Providing parenteral nutrition to pediatric patients requiring various other intravenous products can be challenging. Evaluation of compatibility is essential; however, information is limited and sometimes conflicting. We strove to critically evaluate and present the available published data as a co …
How to maintain venous access in pediatrics?
Many patients require multiple treatment modalities to be administered intravenously including medications, fluids, blood products and nutrition. Clinicians must optimize available access to ensure appropriate and timely administration of all products prior to establishing additional access. Separate administration of intravenous products, if feasible, is always preferred, however, many times simultaneous administration of medications and parenteral nutrition will be required making compatibility considerations essential. It is important to recognize that compatibility only reflects the physical interactions such as formation of a precipitate and does not necessarily address stability or pharmacologic activity of the products. Published data may report both compatibility and stability, however most evaluate visual compatibility alone. Currently there are multiple resources to use when answering the question of compatibility with parenteral nutrition. We strove to evaluate and present the available published data as a comprehensive and practical reference. Primary literature regarding y-site compatibility of medications with three different parenteral nutrition formulas, 3-in-1, 2-in-1 and lipids alone was reviewed. When conflicting results were encountered the clinical strength was considered. When published data was not accessible Trissel's Handbook on Injectable Drugs2was used.
Can you give ceftriaxone and calcium together?
It is now recommended that ceftriaxone and calcium-containing intravenous solutions, such as parenteral nutrition, not be administered within 48 hours of each other regardless of patient age or remote administration sites. Institutions have struggled with the theoretical expansion of this interaction to older children and adults. At this time, no published case reports could be found in the literature.
Is conflicting compatibility demonstrated?
Conflicting compatibility has been demonstrated and strength of the evidence supports compatible
What happens when one drug interacts with another drug?
Interactions, on the other hand, occur in the body when one drug disrupts the absorption, metabolism, action or excretion of the other drug or when the pharmacologic effects of one drug increase or decrease the phrmacologic effects of the other drug.
What happens when a drug is incompatibility?
Incompatibility typically occurs before the drugs even enter the body. One or both drugs affect the stability of the other drug. Precipitation, gas formation, cloudiness, a color change, or concentration change may be detectable.
Does McGoogan Library have a custom IV compatibility report?
The McGoogan Library currently offers two electronic sources for custom IV compatibility reports: LexiComp and Clinical Pharmacology both have custom IV compatibility report tools. Both can produce reports from Trissel's, but the apprearance of the reports is different. LexiComp can also produce reports from another data source, King's.
Can you administer two different drugs through a single IV line?
It's often convenient to administer two different drugs through a single IV line or from a single syringe. It's important that each of the drugs administered in this way be unchanged by the presence of the other drug and by the diluent. Drug combinations are tested for compatibility in solution. Incompatibility is present when visible ...
How long does it take to Y-site a lasix?
If you have a lasix drip going at 10cc/hr and you Y-site into the upper (not the secondary) y-site and there is 10mls of space between that y-site and the patient, then running something at 100cc/hr will push that 10cc of lasix below the y-site in only 6 minutes, instead of an hour. Then when the zosyn is done, you'll have an hour where the line is infusing the remainder of the zosyn before the lasix actually gets to the patient.
What is piggyback slang?
Quote. "Piggyback" is sort of a slang term with no single definition. Some Nurses refer to a y-site hookup as a piggyback, others call a secondary a piggyback. Maybe in your practice, this is true.
Can you stop Lasix intermittently?
I would suggest that in the future, when you have a patient on a continuous drip such as Lasix, that you obtain a second peripheral access for the intermittent infusions. This is a good thing for many reasons. If your patient is to receive an intermittent infusion that is NOT compatipble with the Lasix, you can't just turn off the Lasix to give the other med. Also, if you lose the site that the Lasix is going into, you can just switch to the second site instead of having to stop the drip while you're starting another line.
What does Y site mean?
With a Y site, both drugs are infusing at the same time.
Can you turn off Lasix?
If your patient is to receive an intermittent infusion that is NOT compatipble with the Lasix, you can't just turn off the Lasix to give the other med. Also, if you lose the site that the Lasix is going into, you can just switch to the second site instead of having to stop the drip while you're starting another line.
Can I stop my drip when giving Protonix?
Also, I always stop my drip when giving protonix and flush with 10cc before and after as protonix IV is famous for reacting with other meds.
Do you need a second PIV for IV?
This has many components but one being do not start unnecessary PIVs so if you do not need a second PIV do not start one. Yes a lot of times you do and you have to do it. Then the question arises what is the most appropriate access for the patient at this time? Early assessment of the patients vein,diagnosis and treatment plan needs to be evaluated.
How to remove drug from a drug screen?
You can click on the Search tab at any time to enter new drugs to be screened. New items will appear in the "Selected Items" field. To remove an individual drug or solution, click on the X next to the name. To clear the items from the tool, click the Clear button.
How to find all drugs and solutions that are compatible for a single drug?
To find all drugs and solutions that are compatible for a single drug, click on the drug name in the "Selected Items" List. This will create a list of drugs and solutions that have compatibility information available for that drug.
What is Y site compatibility?
Definitions for the following types of compatibility testing are as follows: Y-site Compatibility - A single drug that is administered simultaneously at a Y-site connection with another drug in a solution. Solution Compatibility - A single drug in a solution. Admixture Compatibility - Two drugs in a solution.
What is the second tab in a drug?
In addition, when the drug name is clicked, a second tab opens to display the specific pharmaceutical properties for a particular drug. (Items listed in the "Solutions" section will have only the tab for the pharmaceutical properties information available). These monographs may include: formulation or reconstitution information, stability and storage information, light effects, pH, and various other characteristics.
How long does a drug stay stable?
All drug components in the test samples were found to be chemically stable (less than 10% loss of intact drug) for at least 24 hours under the conditions being tested.
What is a research result that does not fit these conventional guidelines?
For research results that do not fit these conventional guidelines, the research results are designated as Uncertain or Variable. Apply judgment in using these results. Examples include:
Is microparticulate formation a repeat test?
Among repeat test samples, microparticulate formation was electronically determined to have formed in some samples but not others.
How to get a proper drip rate for a secondary med?
Hang the secondary med higher than the primary fluids so that the meds infuse first. Adjust the roller clamp on the secondary tubing to obtain the proper drip rate.
What is a Y port?
Y-ports, also known as piggybacks, provide a second access point in patient IV tubing for additional IV medications to be given. The most common setup is to have maintenance fluids, such as normal saline or Lactated Ringer's, infusing as the primary fluid. Medications such as antibiotics are normally administered through a secondary port or Y-port.
How to get a syringe out of a syringe?
Wash and dry your hands. Open the package with the secondary tubing. Remove the protective cover and the spike the port of the medication bag. Gently squeeze the medication until the drip chamber is about halfway full. Allow the medication to flow down the tubing to where the end is sealed off.
How to swab Y port?
Locate the Y-port on the primary tubing. Using an alcohol prep, thoroughly swab the port. Hold the tubing so that the port does not touch anything. Remove the end cap from the piggyback medication, being careful not to allow the tip to touch any surface.
How to get medication out of tubing?
Allow the medication to flow down the tubing to where the end is sealed off. Using the roller clamp, c lamp the tubing so that when the end cap is removed, the medication does not run out on the floor. Locate the Y-port on the primary tubing. Using an alcohol prep, thoroughly swab the port. Hold the tubing so that the port does not touch anything. ...
Can antibiotics be infused through a Y port?
Many medications must be given on a pump and cannot be infused through a Y-port connection. Know your facility's procedures concerning proper administration for all IV fluids and medications. Ensure that the current IV is working properly.
Who is Roma Lightsey?
Writer Bio. Roma Lightsey has written for "Grit," "Arthritis Today," and "The Clinical Advisor," a journal for nurse practitioners. Lightsey holds a Bachelor of Arts in communications, a Bachelor of Science in nursing, and a Masters of Science in nursing.
