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Discussion

Lipids at night

Hi! I am new here :) I have a question for you all.

Does anyone know why we hang lipids at night? Maybe it's just my hospital but I wasn't sure if there was a specific reason.

Thank you!

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It is something to do with sleep healing and absorption

It is when our get delivered from where they are made lol. Also, most places do all the orders and labs in the AM and then they are batch made.

We usually hang ours in the daytime.

17:00 at my facility

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a good question.....I have no idea. I have always seen them at 1700/1800.

Also in the evening at my previous hospital, I was curious, so here's what I found...TPN can run over shorter time periods, such as 12, 14, 16 or 20 hours. Each time period is called a "cycle." Usually, the cycle is started in the evening so that the TPN

can be given while the patient is sleeping. By doing this, your patient’s cycle will end sometime during the day. This will allow your patient to be flushed and clamped part of the day while he or she is still awake.

Also in the evening at my previous hospital, I was curious, so here's what I found...TPN can run over shorter time periods, such as 12, 14, 16 or 20 hours. Each time period is called a "cycle." Usually, the cycle is started in the evening so that the TPN

can be given while the patient is sleeping. By doing this, your patient’s cycle will end sometime during the day. This will allow your patient to be flushed and clamped part of the day while he or she is still awake.

Yikes, unsure why that font is so large...oops :wideyed:

I have never seen TPN stopped/clamped for any period of time. Is this just me? I have also seen lipids only given in the evening, for whatever reason. I believe this is a really good question!!! :)

Ours runs at any time of day. I usually see them run anywhere from 12-24 hrs. I'm assuming some places run them at night because more meds are given during the day and most are not compatible with tpn/lipids

We hang ours at 2100. As others said, labs are drawn in the AM and then our TPN is made per orders. It says on the order set that orders rec'd after 1400 will not be filled, so I think it just has to do with who is there to make it.

It is in the home care setting you will see Lipids and a 3 in 1 mix hung at night In this setting it is usually to give the patient freedom during the day and increase their quality of life. In the hospital TPN and/or Lipids are often hung in the evening for a variety of reasons. It standardizes hang times, allows for am labs and practitioners to make changes in the formulation as needed and allows time for mixing and delivering the TPN and Lipids to the various patient areas. I know that some hospital systems have these mixed off site so there is an order cut off time if the MD wants to start it that day. Lipids (unless you have a 3 in 1) do not require mixing and can also be hung during the day and can be given peripherally (no central access is needed for Lipids alone)

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