An intravenous (IV) coupling apparatus is disclosed for fluid delivery to a patient. The coupling includes a tube having an input end and an output end, wherein the input end includes a plurality of input connections configured to releasably couple to one or more input lines in communication with one or more fluid sources, and the output end includes a plurality of output connections configured to releasably couple to one or more output lines configured to deliver fluid to the patient. The coupling includes a plurality of lumens disposed within the tube substantially along the length of the tube, wherein each lumen couples one of the input connectors in fluid communication with a corresponding output connector such that an input line is in fluid communication with a corresponding output line when the input line and output line are connected to a corresponding input connector and output connector.