Can you infuse TPN and lipids together?

TPN must be administered using an EID (IV pump), and requires special IV filter tubing (see Figure 8.10) for the amino acids and lipid emulsion to reduce the risk of particles entering the patient. Agency policy may allow amino acids and lipid emulsions to be infused together above the filters.

Does TPN require special tubing?

TPN requires special IV tubing with a filter. Generally, new TPN tubing is required every 24 hours to prevent catheter-related bacteremia. Follow agency policy. Ensure tubing is primed correctly to prevent air embolism.

Where is TPN tubing placed?

First, TPN is administered through a needle or catheter that is placed in a large vein that goes directly to the heart called a central venous catheter. Since the central venous catheter needs to remain in place to prevent further complications, TPN must be administered in a clean and sterile environment.

Can you run lipids separately in a TPN pump?

Usually I see lipids already mixed in TPN. My thought is to piggyback the lipids into the tpn (both on separate pumps) and run both through the single filter, which is on the distal end of the primary tubing. But I guess you can run the lipids separate, if it doesn’t need the filter.

Which is primary infusion, lipids or TPN?

TPN is the primary infusion, and lipids run as a concurrent secondary set. We use a 1.2 micron final filter between the infusion set and the line. We used to use a 0.2 micron filter for the tpn and run a second pump for lipids and connect after the filter.

How is total parenteral nutrition ( TPN ) administered?

TPN must be administered using an EID (IV pump), and requires special IV filter tubing (see Figure 8.10) for the amino acids and lipid emulsion to reduce the risk of particles entering the patient. Agency policy may allow amino acids and lipid emulsions to be infused together above the filters.

Is there a microfilter in the TPN tubing?

As it turns out, the TPN tubing has an in-line filter. The other filter was indeed for the lipids but it is a MACRO filter, not a microfilter like the TPN uses. (The IV team came in on another case and filled her in on this; the pharmacist hasn’t called back yet :)).