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Pediatric Bone Marrow Transplant: A Guide for Families
Administration of Medications Via an "Intermate" Delivery System
Geri Quinn, RN, MSN and Janine Petitgout, RN, MA
Peer Review Status: Internally Peer Reviewed
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Equipment:
- 'Intermate' bottle
- Alcohol swabs
- 3 cc syringes with needles (3)
- Sterile luerlock catheter cap
- Tape
- Preservative Heparin (10 u/cc)
- Normal saline
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Precautions:
'Intermate' bottle should not be used if any of the following are present:
- If there are any obvious cracks, leakage or dampness on outside of bottle
when removed from delivery bag.
- If bottle has not been maintained at correct temperature (i.e., refrigerated
if needed).
- If there are any questions about correctness of bottle label or contents.
Procedure:
1. Wash hands.
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2. Assemble equipment.
3. Check 'Intermate' bottle and tubing for leaks, cracks, correct drug
name and dose.
4. Make sure the tubing is flushed with fluid.
5. Clamp catheter.
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6. Remove tape from end of catheter, cleanse end with alcohol swab and
remove catheter cap.
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7. Attach 3 cc syringe with normal saline, release clamp, flush catheter
with normal saline, and reapply catheter clamp.
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8. Connect 'Intermate' tubing to catheter end and tape connection site.
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9. Release clamp on both catheter and 'Intermate' tubing.
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Infusion is complete when balloon is deflated and appears straight up and
down within the 'Intermate'.
- Clamp catheter, remove tape, and cleanse connection site with alcohol swab.
- Remove 'Intermate' tubing, attach 3 cc syringe with normal saline and flush
catheter.
- Clamp catheter.
- Perform routine heparin flush of catheter.
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