PICC Line with TPN going, How to give Benadryl IV? | allnurses

PICC Line with TPN going, How to give Benadryl IV?

  1. 0 How to give Benadryl IV if pt have going TPN in a PICC?
  2. 11 Comments so far...

  3. Visit  TheCommuter profile page
    I've always stopped the TPN and started the medication. Once the medication has completely infused, I'll restart the TPN.
    alicebij likes this.
  4. Visit  ParkerBC,MSN,RN profile page
  5. Visit  retiredlady profile page
    I was taught never to infuse anything in a TPN line. We always had a separate line for anything else.
    anotherone likes this.
  6. Visit  Sun0408 profile page
    Does this PICC only have one lumen?? I have paused the TPN,flushed, gave med,flushed again, then restarted the TPN. If the pt is getting a lot of IVP meds or piggy backs, I would start a new line.
  7. Visit  iluvivt profile page
    TPN should always be a dedicated lumen. So if you only have a SL (single lumen) you should not be administering anything else in that lumen. If you have a dual lumen or a triple lumen PICC then you can use one of the other lumen(s) and leave the TPN or TPN and lipids (whatever the case) infusing.

    If this is a SL the best course of action is to start a PIV. Then if you need a multi-lumen PICC you can address that as well.
    anotherone, psu_213, tokmom, and 1 other like this.
  8. Visit  RNmomof3boys profile page
    If there is only a single lumen picc I pause the ton do 2-3 flushes, the med(s) and then 2-3 more flushes. If there are lipids running I do not put anything in the line without checking with our pharmacists. Hope this helps!!!
  9. Visit  hodgieRN profile page
    If it's only one lumen, like a port, and you need to give multiple meds throughout the day, there's nothing wrong with starting a PIV.
    turnforthenurseRN likes this.
  10. Visit  turnforthenurseRN profile page
    Start a peripheral line. I personally don't see the point of having a single lumen "power PICC"...AT LEAST make it a double lumen.
    texasmum likes this.
  11. Visit  SaoirseRN profile page
    We generally have the PICC (if single lumen) dedicated to the TPN and a peripheral line for medications. Ideally a multi-lumen PICC is the best-case scenario. In absence of same, a peripheral site is the best choice.
  12. Visit  anotherone profile page
    in my facility tpn is a dedicated lumen no exceptions. peripheral needs to he started or another central access
  13. Visit  PedRN86 profile page
    I would see about starting a peripheral line for medications or if that is not an option, consult pharmacy.

    Usually I've found it's okay to do a flush, run the med, flush, then restart the line. But if they have a lot of meds (ie. Antibiotics, etc) we collaborate with the RD to alter the TPN/lipid rate to compensate for the lost TPN infusion time (increase the TPN rate as it will only run maybe 20 hours total).