A nurse checks the continuous IV infusion for the intraspinal analgesia . The IV setup should be changed if:
a. tubing with a Y-port is attached.
b. an infusion pump is attached.
c. the tubing connections are all taped.
d. a diluted, preservative-free medication is used.
A
Use tubing without Y-ports for continuous infusions. Use of tubing without Y-ports prevents accidental injection or infusion of another medication meant for vascular space into epidural space. Normal equipment used for intraspinal infusion includes an infusion pump and compatible tubing without Y-ports. Catheter and injection cap or infusion pump tubing should be securely taped and labeled. Closed, intact systems prevent entry of pathogens and disruption of the flow of medication. Medication should be prediluted, preservative-free opioid or local anesthetic as prescribed by the physician and prepared for use in an IV infusion pump (usually prepared by pharmacy). Preservatives may be toxic to nerve tissue.
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