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IV medicines at home - Eclipse Homepump

Your child needs to take IV medicines at home. You will be taught what to do, what to watch for, and whom to call for problems.

Your child's IV medicine

 

Name of medicine

Dose

Give it every         for        days.

Normal saline flush solution

Amount to give:          ml

When to give it:

___ before and after giving the IV medicine

 

Heparin flush solution

Amount to give:          ml

When to give it:

___ after giving the IV medicine and flushing with normal saline

___ every

What is an Eclipse Homepump?

The Eclipse Homepump is a balloon-shaped container filled with medicine. It has a tube that you attach to your child's IV. The pressure created when the balloon is filled with the medicine is what pumps the medicine through the tubing. The size of the tubing and the amount of fluid determine how long it takes for the balloon to empty.

Preventing infection

The nurse will show you how to keep your supplies sterile, so germs will not enter the IV catheter and cause an infection. An infection in the catheter could make your child sick, and could require removal of the IV catheter.

Cleanliness is a must! Each time you handle supplies or perform a procedure, do the following steps:

  1. Prepare a clean work area by cleaning a solid surface with a disinfectant cleanser, (Lysol® or another brand.)
  2. Wash your hands well, using one of the following methods:
    • Use an alcohol-based hand sanitizer (Purell® or another brand) according to directions.
    • If an alcohol-based hand sanitizer is not available, wash your hands for at least 15 seconds with antibacterial soap, rubbing all surfaces briskly, including between your fingers and under your fingernails. Use a paper towel or clean hand towel to dry your hands, and then use the towel to turn off the faucet.
  3. Before each time you flush or attach tubing to the IV, put on non-sterile gloves and scrub the injection cap for 30 seconds with a fresh chlorhexidine wipe, using friction. Let it dry. Do not fan or blow on it.

Care of medicines

Store the medicine right after delivery:

___ refrigerator

___ freezer

___ room temperature

Check to be sure the child's name and medicine name and strength are correct.

A medicine is good until the expiration date. Throw it away sooner if there is a problem with it, you see sediment in it or you question its cleanliness. If you throw away a dose, call the home care pharmacy to have it replaced.

How do I give the medicine?

Getting ready

  1. Double-check the Eclipse to be sure:
    • the label has the child's name and correct medicine name.
    • the expiration date has not passed.
  2. Warm the Eclipse to room temperature:

    • If frozen: Remove it from the freezer at least 12 hours before use. Thaw it in the refrigerator. Do not thaw at room temperature.
    • If refrigerated: Remove it from the refrigerator as directed by the pharmacist. Allow to warm to room temperature. Do not use a microwave, oven, or bath water to warm. Put it in a clean area and keep it out of direct sunlight.

Tip: Frozen medicine thaws slowly. To make sure it is ready when needed, every time you give a dose:

  • move an Eclipse from the freezer to the refrigerator.
  • take one out of the refrigerator to warm up
    • You may need to have more than one Eclipse in the refrigerator to be sure one is thawed before warming it to room temperature.

Setting up the medicine

  1. Prepare the work area.
  2. Wash your hands well.
  3. Gather supplies:
    • chlorhexidine wipes
    • normal saline syringes (2)
    • heparin syringe (1)
    • non-sterile gloves
    ___ Eclipse Homepump containing medicine, room temperature

    or
    ___ If you will be mixing the medicine:
    • Eclipse Homepump containing normal saline
    • vial of dry medicine
    • vial of diluent (liquid to mix with the medicine)
    • alcohol wipes
    • syringe (       ml) with needle
    • sharps container for needles
  4. Check the labels of the normal saline and heparin syringes, before giving them. Make sure they are the right medicines. Check expiration date.
  5. Pre-filled syringes have an air bubble in them. Before using, hold syringe upright, pull back slightly on plunger and squirt the air bubble out. This includes normal saline, heparin and medication syringes.
    ___ If you are instructed to mix your child's medicine:
  1. Mix the medicine right before giving it.
  2. Put on non-sterile gloves and scrub the tops of the vials with a separate alcohol wipe for each for 30 seconds. Let them dry.
  3. Mix the powder in the vial according to the directions on the label.
  4. Mix well. Draw up your child's dose of medicine from vial.
  5. Unscrew the lid on the top of the Eclipse.
  6. Remove the needle from the syringe, and twist the syringe tip into the top of the Eclipse.
  7. Push the syringe plunger to put the medicine into the Eclipse. You may need to push on the syringe plunger quite hard.

Starting the infusion

  1. Make sure the IV tubing is clamped.
  2. Put on non-sterile gloves and scrub the injection cap on the IV tubing with a chlorhexidine wipe for 30 seconds and let it dry.
  3. Unclamp the Eclipse tubing and flush with normal saline, using the push-and-pause method. Remove the syringe.
  4. Scrub the injection cap with a new chlorhexidine wipe for 30 seconds and let it dry.
  5. Remove the cover from the end of the Eclipse tubing. Unclamp tubing on Eclipse and make sure you see a drop of fluid at the end of the line.
  6. Twist tubing into the injection cap.
  7. Open the Eclipse clamp to start the infusion. If the tubing is kinked, massage the tubing to begin the flow.
  8. Place the Eclipse in the carrying pouch, in a pocket, or on a nearby surface while the medicine is infusing.

Stopping the infusion

  1. Clamp Eclipse tubing and remove the Eclipse tubing from the injection cap.
  2. Scrub the injection cap with a new chlorhexidine wipe for 30 seconds and let it dry.
  3. If you have been instructed to do so: Attach normal saline syringe and flush using the push-and-pause method. Remove the syringe.
  4. Scrub the injection cap with a new chlorhexidine wipe for 30 seconds and let it dry.
  5. Attach heparin syringe and flush using the push-and-pause method. Remove the syringe.
  6. Clamp the IV line.

Disposing used supplies

Put the used Eclipse and tubing in the trash. If you throw away an Eclipse that is not empty, cut the end of the tubing, and empty it into the trash.

Put used syringes in the trash, unless they have a needle, or unless blood is in them.

Put syringes with needles or with blood in them into a sharps container. Do not overfill the sharps container. Your home care pharmacy will dispose of it.

Problem solving

Problem Possible cause What to do
Infusion will not start or infuses slowly
  • clamp closed
  • kink or bend in tubing
  • IV catheter is blocked
  • Open all clamps.
  • Massage tubing. 
  • Change hand or arm position. 
  • Call your home care nurse. 
Eclipse is leaking
  • defective Eclipse
  • Throw away the leaking Eclipse and replace with a new one. 
  • Call home care nurse or pharmacy to replace the Eclipse. 

IV site is sore, painful, or leaking at injection site

Infusion is painful

 
  • Clamp the tubing. 
  • See the education sheet for your child's type of IV. 

Questions?

 

If you have any questions, please call your home care nurse or pharmacist. 

Last reviewed by Home Care 3/2016

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This page is not specific to your child, but provides general information on the topic above. If you have any questions, please call your clinic. For more reading material about this and other health topics, please call or visit Children's Family Resource Center library, or visit www.childrensmn.org/educationmaterials.

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