Fluctuating flow rate
Runaway IV
Sluggish IV
Tubing / loose connection/
disconnection
Blood back up in tubing
IV line obstruction/kinking
of IV tubing
Clogged filter
Break in aseptic technique
Leaks; due to
inappropriate device
TROUBLESHOOTING
PROMPTLY AND
EFFECTIVELY
WHAT TO DO WHEN INFUSION
SLOWS DOWN OR STOPS
1.Assess the I.V. system to locate
the problem. Start at the insertion
site. Check for infiltration,
extravasations, or phlebitis.
2.Check for patency. Obstruction of
flow is caused or affected by the
following factors:
3. Check the clamps. Some sets
have two:
the roller clamp and the side clamp.
Check if both are open or if these are
properly adjusted.
4. Check the patency of the air vent;
reposition it if needed.
5. Check fluid level: if empty replace
as prescribed. If solution is too cold, it
may cause venous spasm and
decrease the flow; keep room
temperature regulated. Check the
spike of the set; push it more inside
the fluid bag or adjust it.
6. Check filters: ordinary sets usually
do not have in-line filters. If it has,
follow the manufacturer’s guide
instructions. Blood transfusion filters
retain blood product debris. If flow
rate decreases or stops after more
than one unit has been transfused
you may have to change the set.
7. Check tubings: if patient is lying on
it or if it is kinked or it may be crimped
with too tight roller clamps, release
and round-up the tubing to its original
shape
8. Is gauge of the needle too small? Is
fluid container too low above the
venipuncture site? Adjust it around
36-48 inches above the site.