When carrying out any infusion, it is necessary to observe the patient's condition, clinical and biological indicators, it is especially important to evaluate plasma electrolytes. In the body of children, because of the immaturity of kidney function, sodium excretion can be slowed down. Therefore, in such patients, repeated infusions should be performed only after determining the concentration of sodium in the plasma.
Apply only a clear solution, with no visible inclusions and if the package is not damaged. Enter directly after connecting to the infusion system.
Do not use a series connection of plastic containers. This can lead to air embolism due to sucking in the air left in the first container, which can occur before the solution from the next container arrives.The solution should be administered with the use of sterile equipment with compliance with the rules of aseptic and antiseptic. To avoid ingress of air into the infusion system, it should be filled with a solution, releasing the residual air from the container completely. Adding other drugs to the solution can be done before or during infusion by injection into a specially designed area of the container.
As with all parenteral solutions, the compatibility of the added substances with the solution should be determined before dissolution.
Do not apply with 0.9% sodium chloride solution preparations known to be incompatible with it. Determine the compatibility of the added drugs with the sodium chloride solution 0,9% should the doctor, checking possible changes in color and / or the appearance of sediment, insoluble complexes or crystals.
Before adding it is necessary to determine whether the added substance is soluble and stable in water at a pH level similar to that of sodium chloride 0.9. When adding the drug, it is necessary to determine the isotonicity of the resulting solution before infusion. Before adding to the solution of the preparations, they must be thoroughly mixed in accordance with the rules of asepsis.Prepared solution should be introduced immediately after preparation, do not store!
Adding other drugs or disrupting the technique of administration can cause fever due to the possible ingestion of pyrogens. In case of development of undesirable reactions, it is necessary to stop the solution immediately.
Prior to the application of the solution, do not remove the container from the outer protective polypropylene / polyamide bag into which it is placed, since it maintains the sterility of the preparation.
Instructions for the use of Viaflo® Containers (Viaflo)
1. Opening the package.
a. Remove the Vioflo container from the outer bag immediately before use.
b. When tightening the container, it is necessary to check it for its integrity. If mechanical damage is found, the container should be disposed of, as sterility may be impaired.
at. Check the solution for transparency and no inclusions. The container should be disposed of if transparency is violated or inclusions are present.
2. Preparation for use.
Use sterile materials to prepare and inject the solution.
a. Hang the container by the loop to the tripod.
b.Remove the plastic fuse from the output port located at the bottom of the container:
- grasp one hand for a small wing on the neck of the outlet port,
- grasp the other hand by the large wing on the lid and twist,
- the lid will open.
at. When staging the infusion system should adhere to the rules of antiseptics.
d. Install the infusion system in accordance with the instructions for the connection, filling the system and introducing the solution, which are contained in the instructions to the system.
3. Adding other drugs to the solution.
Attention: added medications may be incompatible with the solution.
To add before the introduction:
a. Disinfect the area for injecting drugs on the container (port for drug administration).
b. Using a syringe with a needle of 19 - 22 sizes (1.10 - 0.70 mm), make a puncture in this area and enter the drug.
at. Mix the preparation thoroughly with the solution. For drugs with high density, such as potassium chloride, carefully insert the drug through the syringe, holding the container so that the drug input port is on top (upside down), then mix.
Caution: do not store containers in which preparations have been added.
To add the drug during the administration:
a. Move the system clamp that regulates the supply of the solution to the "Closed" position.
b. Disinfect the area for injecting drugs on the container (port for drug administration).
at. Using a syringe with a needle of 19 - 22 sizes (1.10 - 0.70 mm), make a puncture in this area and enter the drug.
Remove the container from the tripod and / or turn it upside down.
etc. Remove air from both ports.
e. Thoroughly mix the preparation with the solution.
f. Return the container to its working position, move the system clamp to the "Open" position and continue the introduction.
Dispose of the containers after a single use.
Dispose of each unused dose.
Do not reconnect partially used containers (regardless of the amount of solution left in it).