[cardiacRN2006]

You and I posted about the same time, so my post wasn't meant to dispute anything that you said. I just didn't see your post when I posted...

[TXstudentRN]

I've never heard of TPN going through a peripheral, but I'm sure (as other posters have said) it could be done if absolutely necessary.

I was on TPN for awhile and we had SUCH a problem with the mixing/compatibility when I had a port put in (single lumen) to replace my double lumen PICC line, after an infection that needed two weeks of IV abx. I needed 24 hour TPN, 12 hours of IV fluids, and 2 doses, am and pm, of Vancomycin-- it was insane trying to figure out if it was allowed, and if not, how we were going to do it. I KNEW TPN and fluids could be mixed, since it's just like diluting the TPN plus there is already saline in it, but it took awhile for the residents to get on board. Oh, the TPN already had the lipids mixed in (always has for me) btw. Then it was discovered that Vanc IS compatible, though some other meds I was on weren't so we just had to pause the TPN while they were given, which was IV push so it wasn't an issue of tapering and blood sugar problems.

It's certainly confusing- glad they have reference books for compatibility!

[Kyrshamarks]

You can run TPN thru a peripheral line. You can run D25 for a short time thru the a PI but TPN for a periph is usually D12.5%. They run it all the time on kids and you can run lipids thru a periph also. Some meds are ok to go thru TPN. Check with your pharmacist on this. (this is after talking to my girlfriend who is a pharmacist in a hospital and makes TPN regularly)

[nrsang97]

When I worked Med/Surg we did at times run TPN and lipids through a peripheral line. The TPN had to be made specifially for a peripheral line. This was also usually temporary until a PICC or Port were placed. If we did run through a peripheral line along with being specially made for a peripheral IV we had to use a 20g needle or larger. Also nothing is compatible so if IVF and IVPB and IVP meds we had to start a second line. You have to really watch that site since it is so easy for it to infiltrate since TPN is harsh to veins.

[AmyB]

Originally Posted by cardiacRN2006

No! TPN must be run through a central line! Also, the only thing we can run with it is the lipids (below the filter).

No need to even think of other meds to run with it, since most central lines have more than one port.

This is what was drilled into our heads in school. I guess I'd never given it much thought since then as it was very clear what we were to do...

[LoraLou]

our policy is TPN through a central line only, the only thing we are able to run with TPN is insulin, and there PPN (peripheral parenterl nutrition) that is prepared to run through a peripheral line.

[BittyBabyGrower]

We run TPN thru peripherals all the time.....nothing higher than 12.5 though. There are many meds that are compatible with TPN....sometimes we have no choice in the NICU. Sure, I'd love to have a central line on all my kids, but it just doesn't happen. Also, we only use single lumen Broviacs in the kids where I work. We piggyback dopamine, insulin, antibiotics, narcotics, steroids, and lots of other things with it. Your pharmacy should have a compatibility list.