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Intravenous Preparation:

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Every patient having a surgical procedure will require intravenous access. If available, pre-warmed fluids can be used. For adult patients, a litre of Normal Saline or Ringer’s Lactate with standard intravenous tubing can be prepared. If the patient is having a procedure where a blood transfusion may be required, special tubing with a blood filter and warmer should be prepared.

Preparing a standard intravenous infusion:

1 Hang the intravenous bag on an IV pole.

2 Close the roller clamp on the tubing to control the flow of fluid. Remove the seal over the IV tubing “spike”, and take care not to touch the spike as it is sterile and will come in contact with the intravenous fluid.

3 Grasp the IV bag port at the base.

4 Insert the tubing spike into the bag port with a pushing and upward twisting motion until the spike is in the port up to its hilt.

5 Squeeze and release the drip chamber until it is ½ filled with liquid.

6 Open the roller clamp, and flush the air out of the tubing.

Ottawa Anesthesia Primer

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