Vanco and TPN

[Themajesticfemale]

Can Vancomycin be run simultaneously with tpn in Double lumen Hickman catheter?

[Rose_Queen, BSN, MSN, RN]

Does your facility provide access to a compatibility resource? What about contacting the pharmacist? Policy and procedure manual? There are many resources available for nurses to use- and they can provide verifiable information. You may not get accurate responses on an anonymous website.

[IVRUS, BSN, RN]

NO. TPN must not have any other medication piggybacked into it besides lipids. TPN must have a dedicated line and no violations of the line should be allowed.

[morte, LPN, LVN]

that is not the scenario presented

[MunoRN, RN]

As a general rule, a lumen infusing TPN should not be used for intermittent infusions due to the risk of infection in a lumen containing a fluid that easily facilitates bacterial growth combined with frequent potential for introducing bacteria. This doesn't apply to separate lumens however. So if it is truly a separate lumen from the TPN, then there is no comparable reason to avoid infusing Vanco or any other intermittent/push medication through it.

[IVRUS, BSN, RN]

Yes,

I read the post too quickly. And Muno is correct: As long as the medications are going into two different lumens of the central line, then there should be no problem infusing them simultaneously. If the two meds were incompatable, we don't, however, know what micro-precipitates are forming when these two medications infuse into the SVC as research hasn't taken us that far.