| | #3 (permalink) |
| Junior Member Join Date: Mar 2004 Location: WV
Posts: 12
| Re: TPN in ICU I have worked in three ICUs. The first,did not permit anything except lipids to run through the same lumen as TPN. and that was with a double T adapter. The second unit piggybacked everything together and the third mixed TPN and lipids in the same bag and also piggybacked everything together. I just check the unit policy and follow it,you are then covered. Jeanie |
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| | #4 (permalink) |
| Senior Member Join Date: Oct 2003 Location: Texas
Posts: 232
| Re: TPN in ICU I have worked in a number of ICU units. I agree with both responses already given. TPN usually already contains insulin. But having said that as an agency nurse you are responsible to follow hospital policy. So I always check the policy for the facility in which I am working and follow their protocols. |
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| | #5 (permalink) |
| Junior Member Join Date: Mar 2004
Posts: 5
| Re: TPN in ICU In a previous unit insulin was added to the bags but that was a long time ago and now we run an insulin infusion. Problem being we also run that much other stuff and usually only have a total of 3 lumens - one for inotropes, one for TPN/insulin?? and the third is quickly used up - plus we like to continuously monitor CVP. We do regular finger sticks and/or art line blood sugar levels and adjust insulin accordingly. What exactly do you mean by "cover"? |
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| | #8 (permalink) |
| Senior Member Join Date: Mar 2004 Location: Sherwood, Arkansas
Posts: 351
| Re: TPN in ICU TPN should run on a stand alone line. There is a high risk of bacterial contamination with additional IV junctions or ports. It is not a compatibility problem but an infection control problem. |
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