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| Critical Care Nursing Critical Care, ICU, CVICU, MSICU, CCU... in the trenches! |
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03-20-2004, 01:10 PM
| #1 |
| Registered User Join Date: Mar 2004
Posts: 5
| TPN in ICU Just wanting to hear if any of you ICU nurses run insulin on the same lumen of the CVL as TPN when necessary. This is a point of some debate within our unit and I would love to hear what others are up to. |
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03-20-2004, 02:40 PM
| #2 |
| Guest
Posts: n/a
| Re: TPN in ICU Our TPN had the insulin in it so I don't see why not. Why is insulin not put in your TPN plus you do finger stick and cover? Just curious WR,,, three commas for Becca |
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03-20-2004, 03:21 PM
| #3 |
| Registered User 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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03-21-2004, 08:04 AM
| #4 |
| Registered User Join Date: Oct 2003 Location: Texas
Posts: 221
| 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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03-22-2004, 02:06 PM
| #5 |
| Registered User 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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03-22-2004, 02:10 PM
| #6 |
| Registered User Join Date: Mar 2004
Posts: 5
| Re: TPN in ICU Jeanie, I am trying to formulate/update our ICU policy on this subject so checking the unit policy is a great idea but in my situation not much help - thanks for your comments though, Julie |
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03-22-2004, 03:10 PM
| #7 |
| Guest
Posts: n/a
| Re: TPN in ICU As in rainbow coverage or sliding scale.. We did it for a week until the patient was stable on TPN.. WR,,, three commas for Becca |
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04-04-2004, 06:49 AM
| #8 |
| Registered User  Join Date: Mar 2004 Location: Sherwood, Arkansas
Posts: 343
| 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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TPN in ICU
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