IV Fluid Therapy Components: Complete Setup Guide
Intravenous (IV) Infusion System Components
A standard gravity or pump-driven IV setup includes:
- IV Bag/Container: Sterile fluid (0.9% NaCl, D5W, LR, Plasma-Lyte, blood products).
- IV Tubing (Administration Set):
- Macrodrip (10, 15, 20 gtt/mL) for rapid infusion.
- Microdrip (60 gtt/mL) for precise pediatric/medication delivery.
- Needle-free connectors, backcheck valves, filters (0.22 µm for TPN, blood).
- IV Cannula/Catheter: Peripheral (14–24G), midline, PICC, central line (CVC, port).
- Drip Chamber: Visual flow monitoring; air trap.
- Flow Regulator: Roller clamp (gravity) or infusion pump (syringe, volumetric, PCA).
- Needle-Free Connector / Safety Port: Luer-activated valve for intermittent access; reduces needlesticks.
- IV Pole: Adjustable height; 2–4 hooks for multiple bags.
Additional Equipment
- Infusion Pumps: Volumetric (maintenance), syringe (meds), PCA (patient-controlled analgesia), elastomeric (portable).
- Pressure Bags: Rapid infusion (trauma, surgery).
- Warming Devices: Blood/fluid warmers for massive transfusion.
- Smart Pumps: Drug libraries, dose error reduction systems (DERS).
Key Principles
- Aseptic technique throughout.
- Verify "5 Rights" (patient, drug, dose, route, time) + documentation.
- Monitor site for infiltration, phlebitis, infection (INS standards).
- Label all lines (medication, rate, date/time).
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