IV device identification

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Intravenous news: The Institute for Safe Medication Practices report “A patient with a low potassium level was due to receive three sequential, hour-long infusions of highly concentrated potassium chloride 20 mEq in minibags. A primary IV of 0.9% sodium chloride was infusing so the patient’s nurse attached a secondary IV set to the first potassium chloride minibag, connected it to the primary line, and began infusing the solution via a pump. She came back to the patient’s room when the second dose was due and noticed the potassium solution was flowing quickly into the drip chamber. She then realized the solution was flowing into the primary IV bag rather than the patient”.

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