Chapter 44 of 62
Bridge IV Solutions Product Training
Adding Medications to Fleboflex Containers
Fleboflex containers feature a resealable medication port designed for safe additive injection. This module covers the correct technique for adding medications both before and during infusion administration.
Adding medication BEFORE administration: Prepare the medication site on the bag. Using a syringe with a 19-22 gauge needle, puncture the resealable medication port and inject the additive. Hold the container securely during injection. Insert the needle perpendicular to the port surface. After injection, mix the solution and medication thoroughly by gently inverting and rotating the bag multiple times.
Adding medication DURING administration: Close the clamp on the administration set. Prepare the medication site. Using a syringe with a 19-22 gauge needle, puncture the resealable medication port and inject. Remove the container from the IV pole or turn to an upright position. Mix the solution and medication thoroughly. Return the container to the in-use position and resume administration.
For Fleboflex Luer bags (where available): The needle-free medication port accepts direct syringe or vial connection without needle puncture, further reducing sharps injury risk. The twist-off administration port is accessed by torsion rather than protector removal.
After ANY additive introduction: verify the solution remains clear with no discoloration, precipitates, or crystals. If any abnormality is observed, do not administer — discard the entire bag and prepare a fresh solution. Never store bags after additives have been introduced.
Key Points
- Use 19-22 gauge needles for the resealable medication port — insert perpendicular
- Mix thoroughly after adding any medication — invert and rotate the bag
- During-infusion additions: clamp the set first, then inject, mix, and resume
- Fleboflex Luer variant offers needle-free medication access
- Inspect solution after every additive — discard if any discoloration or precipitates