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

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

  3. by   TheCommuter
    I've always stopped the TPN and started the medication. Once the medication has completely infused, I'll restart the TPN.
  4. by   ParkerBC,MSN,RN
  5. by   retiredlady
    I was taught never to infuse anything in a TPN line. We always had a separate line for anything else.
  6. by   Sun0408
    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. by   iluvivt
    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.
  8. by   RNmomof3boys
    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. by   hodgieRN
    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.
  10. by   turnforthenurse
    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.
  11. by   SaoirseRN
    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. by   anotherone
    in my facility tpn is a dedicated lumen no exceptions. peripheral needs to he started or another central access
  13. by   PedRN86
    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).

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