DO YOU KNOW...

Giving IV fluids at home

 
CADD pump

CADD Prizm® IV Infusion Pump Deltec, model 6100

Many St. Jude patients receive fluids by IV (by vein). We use IV fluids to increase fluid levels that are too low. They also correct the balance of certain minerals in the body called electrolytes. Electrolytes control muscle action, the amount of water held by the body, and other body functions. IV fluids may include dextrose and electrolytes such as sodium, potassium, magnesium, phosphates, and bicarbonate.

If the doctor prescribes IV fluids, follow the directions closely for your child’s safety.

Remember: Try to keep your work area sterile (germ free) when you connect or disconnect your child’s central venous line from a pump.

For your child

___________________ml of fluids should run for________________hours each day.

Store IV fluids in the refrigerator until one (1) hour before you start infusing (giving the fluid through the pump). Warm the fluid to room temperature before giving it to your child. Do not warm the IV bag by placing it in the sun, oven, microwave, or any other heat source.

Preparing to use the CADD Prizm® pump

  • Clean your work area surface with an alcohol prep pad. Then, gather these supplies and place them on your work space:
    • CADD Prizm® pump
    • IV fluids bag with cassette and tubing
    • 1 syringe with needle 10 ml size
    • 2 syringes of sterile sodium chloride (saline for IV use). If you receive bottles of saline instead of prefilled syringes, withdraw _______ml from the vial for each syringe.
    • Heparin
      ______ 10 units/1ml (will withdraw ________ ml from the vial for flushing)
      ______ 100 units/ml (will withdraw ________ ml from the vial for flushing)
    • 3 alcohol prep pads
    • 2-inch clear tape
    • Self-stick bandage
    • A coin
  • Clean your hands with antibacterial soap (any soap that says deodorant or antimicrobial) and dry well. Or use an alcohol-based liquid or foam hand cleaner. (For guidelines, see "Do you know... Clean hands.")
  • Before each infusion, check the IV bag:
    • For your child's name;
    • For the name of the fluid ordered by the doctor;
    • For the expiration date; and
    • To make sure the liquid is clear - not cloudy, discolored, or specked.
  • Do not use the bag if you think it is leaking or damaged.
CADD latch

Installing infusion cassette

  • Insert the cassette hooks into the hinge pins on the pump.
  • Place the pump upright on a firm, flat surface. Press down so the cassette fits tightly against the pump.
  • Insert a coin into the latch and push in. Turn counterclockwise (to the left) until the mark on the latch lines up with the solid dot. The
    pump will beep when you have the cassette latched all the way.

Gently twist and pull on the cassette in the pump to make sure it is firmly attached.

Twist the cassette
  • The message “Admin set latched” will appear on the display. Press NEXT.
  • The display will ask if you want to repeat the last program used. For example, it might say, “Reset Reservoir Volume to 3000ml? Press Y or N.” You would Press Y, if what you see on the screen is correct. If reservoir volume does not match what was prescribed for your child, please call your doctor or nurse practitioner right away.
  • The display will say, “Infusion Profile has been reset.”
  • The display will then say “Prime Tubing? Press Y or N.” Press N, unless taught otherwise by a member of your child’s care team.
  • The display will now say “Start the Pump? Press Y or N.” Follow the directions below to start the infusion.

Starting the infusion

  • Clean your hands again with soap and dry well, or use an alcohol-based liquid or foam hand cleaner.
  • Put your child in a safe place where you have easy reach to the central line, the IV fluid line, and pump.
  • Untape the central line as needed. On your child’s line, remove the self-stick bandage from the needleless connector (commonly called an end cap).
  • If needed, withdraw ____ml of saline into a syringe. If you need help with this, please refer to “Do you know… Withdrawing medicine from a vial.”
  • Clean the end cap with an alcohol prep pad for 7 seconds. Let it dry for 7 seconds. Do not blow on the end cap. After the end cap is clean, do not lay it down.
  • Hold the syringe and the line in the same hand. Unscrew the capped needle with the other hand.
  • Attach the saline syringe to the end cap. Unclamp the central line, and flush with saline. Reclamp the line. Then, remove the syringe.
  • Wipe the end cap with an alcohol pad, and connect the IV tubing to the cleaned end cap.
  • Unclamp the IV tubing and unclamp the central line to begin infusing fluids.
  • Check the lines for kinks or other blockages before you start the pump.
  • “Start the Pump? Press Y or N” appears on the display. Press Y.

The amber light above the display on the left will blink if the pump stopped or an alarm exists. If this light remains on, the pump is not working. Call your clinic for a new pump.

The green light above the display on the right will blink every 3 seconds when the pump is running and delivering fluid. You can hear the pump motor when the pump is infusing.

Ending the infusion

When the display reads, “Reservoir Volume is Zero,” the infusion of IV fluids is complete. Press NEXT to stop the pump alarm.

  • Wash your hands again and dry well.
  • Clamp the IV tubing.
  • Clamp your child’s central line.
  • If needed, withdraw ____ml of saline into a syringe.
  • Withdraw ____ml of heparin into a second syringe. You should mark the syringes in some way so you know which medicine is in each syringe.
  • Remove the IV tubing from the end cap. Clean the end cap with an alcohol prep pad.
  • Follow these steps to flush the line with saline:
    • Hold your child’s line and the saline syringe in the same hand. Unscrew the capped needle from the saline syringe.
    • Attach the syringe to the end cap. Unclamp the line. Flush the line with saline.
    • Clamp the line. Remove the saline syringe.
  • Follow these steps to flush the line with heparin:
    • Hold your child’s line and the heparin syringe in the same hand. Unscrew the capped needle from the heparin syringe.
    • Attach the syringe to the end cap. Unclamp your child’s line, and flush the line with most of the heparin. When the plunger reaches the 1ml mark on the syringe, close the clamp while you push in the rest. This leaves a positive pressure inside the line.
    • Close the clamp. You may now lay down the line.
  • Open the self-stick bandage package. Peel the paper from the back. Fold over each end of the bandage. Place the gauze part of the bandage over the end of the end cap. Press the bandage edges together to cover the end cap. Loop the line, and tape the clamp flat to your child's chest.
  • Follow the directions in next section to remove the IV bag and tubing from the pump.
  • Place needles in a patient sharps container. See “Do you know… Throwing away sharp objects safely.” Throw away other used supplies in your regular trash.
  • Clean your hands again.

Removing the infusion cassette

  • Be sure you have closed the tubing clamp and your child’s central line clamp before removing the cassette from the pump. This will prevent fluid or air from flowing freely into your child’s line.
  • Press START/STOP to stop the pump. When “Stop the Pump?” appears on the display, press Y.
  • Use a coin to unlatch the cassette. Insert the coin into the slot. Turn clockwise (to the right) until the latching button pops out.
  • Remove the cassette from the pump. Discard the IV tubing and bag as the doctor or nurse has told you.

Troubleshooting alarms

What you see on screen
What might be causing the problem
What you can do about it
9 volt Battery Low Battery power is almost
used up.
Have new, fresh battery ready to replace it.
9 volt Battery
Depleted
Battery is dead. Pump is not running. Install new 9-volt battery right away.
(display blank or random letters and numbers; two-toned alarm with amber
light on)
Battery is dead. Pump is not running. Install new 9-volt battery right away.
High pressure/Pump Stopped A blockage between the
pump and the patient
Check the line for kinks. Make sure the central line clamp is open. The pump should resume when the blockage is gone. (Pressing STOP will silence alarm for 2 minutes. You might need to restart the pump.)
Upstream Occlusion
(Blockage above pump)
A blockage between the
fluid bag and the pump
Check line for kinks. Make sure the tubing clamp is open. The pump should resume when the blockage is gone. (Pressing STOP will silence alarm for 2
minutes. You might need to restart the pump.)
Reservoir Volume
is Low
The infusion is almost complete. Gather supplies for flushing central line with saline and heparin.
Reservoir Volume is
Zero
The infusion is complete. Press NEXT to stop the alarm. Disconnect the line following the steps above. Then, flush with saline and heparin.
(3 beeps every 5
seconds/stopped on
main screen)
Pump is stopped. Start the pump if you need to at that time.

Changing the batteries

Always have new 9 volt batteries ready when using the CADD Prizm® pump. New batteries from the St Jude pharmacy will have a small plastic tab on the top of the + and -terminals. You must remove the plastic tab before placing the battery in the pump.

Changing CADD batteries
  • Stop the pump by pressing STOP/START.
  • The display says “Stop the Pump?” Press Y for yes.
  • Press the button on the battery door and slide it forward.
  • Remove the used battery and discard it.
  • Remove the plastic tab from the new battery.
  • Match the + and – markings on the battery with the markings on the pump. If the battery is placed correctly, the pump will beep.
  • Replace battery door. The pump will power-up on its own.
  • After the pump powers up, there is a self test. Then, the pump will beep.
  • The display will say “Press NEXT to continue.” Press NEXT.
  • Restart pump by pressing START/STOP. When you see “Start the Pump?” on the display, press Y for yes.

Please return the CADD Prizm® pump to the pharmacy when your child no longer needs it.

Remember: If your child’s central line has 2 lines, flush the unused line one (1) time a day.

Questions?

To learn more about using the CADD Prizm® pump, talk to your child’s pharmacist or nurse. If you are inside the hospital, dial 0. In the local area, call 901-595-3300. If you are outside the Memphis area, dial toll-free 1866-2STJUDE (1-866-278-5833), and press 0 once the call is connected.


 

This document is not intended to take the place of the care and attention of your personal physician or other professional medical services. Our aim is to promote active participation in your care and treatment by providing information and education. Questions about individual health concerns or specific treatment options should be discussed with your physician.

St. Jude complies with health care-related federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak another language, assistance services, free of charge, are available to you. Call 1-866-278-5833 (TTY: 1-901-595-1040).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-278-5833 (TTY: 1-901-595-1040).

تنبيه: إذا كنت تتحدث باللغة العربية فيمكنك الاستعانة بخدمات المساعدة اللغوية المتوفرة لك مجانا. .يرجى الاتصال بالرقم. 5833-278-866-1  (الهاتف النصي: 1040-595-901-1).