infusing lipids?

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If a pt has a multiple lumen pic line can you administer fats in a separate lumen by itself? When administering tpn with fats what happens if the fats go directly to the pt with a filter of course?

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They can be in a separate line or connected to the line running TPN below the TPN's filter.

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Specializes in Vascular Access.
If a pt has a multiple lumen pic line can you administer fats in a separate lumen by itself? When administering tpn with fats what happens if the fats go directly to the pt with a filter of course?

Lipids can infused seperately, or if they are compounded in the pharmacy under a laminar flow hood, then the may arrive as a 3 in 1 solution. This is where the three main ingredients of TPN: Dextrose, Amino acids and Fats, are combined in one bag. If you have a 3 in 1 bag, it should infuse via 1.2 micron filter. However, lipids by themselves do not need a filter.

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So if fats are connected to the pt and the tpn was connected to the fats the only problem would be it could clog the filter correct...which is why it needs to be below to tpn filter? No harm to the pt just clogging?

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Specializes in Vascular Access.

I would be piggybacking the Lipids into the TPN, but into the port below the filter. TPN without Lipids will, or should infuse via .22 micron filter... but Lipids cannot go into that small of a filter as it would clog it. But my question is, if you are running them both concurrently, why doesn't your pharmacy put them all in on bag, and you just use a 1.2 mocron filter on the final admixture?

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