- Highly elastic and resistant to tear, wear, bacteria and mold;
- Has no adverse effects on children and pregnant women;
- Equipped with specially designed flexible tube and bag to avoid breakage.
Always clean your work area with alcohol and dry with a paper towel. Also, wash hands with soap and water, and put on sterile gloves before touching any equipment.
Continue by gathering the supplies. Prepare a TPN solution and prime IV tubing with the filter as per agency protocol. Tubing should be primed to avoid air embolism. If changing TPN solution, pause EID and remove the old TPN administration set. Carefully disinfect connections and change IV tubing.
If starting TPN for the first time, carefully flush and disinfect CVC lumens. Carefully insert a new TPN solution and IV tubing into EID.
Start the TPN infusion rate as per the orders of a licensed physician. Monitor for signs and symptoms of complications related to TPN.
There are some complications that may arise when using the product. Those can include but are not limited to:
- Catheter-related Bloodstream Infection;
- Air Embolism;
- Refeeding Syndrome;
- Pulmonary Edema.
Complete daily assessments and monitoring for the patient on TPN has to be done. Document the procedure in the patient’s chart as instructed by a licensed physician.
- Use strict aseptic technique when caring for central venous catheters and PICC lines;
- Avoid using TPN solution if it has coalesced, as evidenced by the formation of a thick, dense layer of fat droplets on its surface. If the solution appears abnormal in any way, request a replacement from the pharmacy;
- Always avoid trying to catch up with a delayed infusion.