Plumer's Principles & Practice of Intravenous Therepy states in chapter 16 that lipids alone can hang for a maximum of 12 hours. If the lipids are in a 3-in-1 mixture then they can hang forup to 24 hours.
Intravenous Medications by Gahart and Nazareno does not list a maximum hang time for fat emulsion in the 2010 book. Their only statement is that when mixed as a 3-in-1 solution it may be refrigerated for no more than 24 hours and completely infused within 24 hours after removal from refrigeration. The recommendations for changing all IVFE tubing is 24 hours. So I do not think that the hang time for the bottle would be less than the hang time for the tubing. Not sure about the source for the information in Plumers book. Lynn
You can reference this with with CDC_HICPAC guidelines, alone lipids can hang a maximun of 12 hours. If mixed in a solution the time is extended to maximum 24 hours. You can also reference and article written by LE Perry in Drug Topics, a magazine written for pharmacists which will give you the same guidelines. Terri
But the CDC does state that if volume is a consideration the infusion could be completed over 24 hours. Look at the references for this, 1975, and 2 from 1984. I will be curious to see if they make any changes in the revised guidelines due out this year. Lynn
Thanks Lynn. I just looked at the CDC guidelines draft due out this year and it does state to complete the infusion of lipid emulsions alone within 12 hours of hanging then goes on to say that if volume considerations require more time it can be completed within 24 hours. Of course this info is from the draft.
Plumer's Principles & Practice of Intravenous Therepy states in chapter 16 that lipids alone can hang for a maximum of 12 hours. If the lipids are in a 3-in-1 mixture then they can hang forup to 24 hours.
Valorie Dunn,BSN, RN, CRNI, PLNC
Intravenous Medications by Gahart and Nazareno does not list a maximum hang time for fat emulsion in the 2010 book. Their only statement is that when mixed as a 3-in-1 solution it may be refrigerated for no more than 24 hours and completely infused within 24 hours after removal from refrigeration. The recommendations for changing all IVFE tubing is 24 hours. So I do not think that the hang time for the bottle would be less than the hang time for the tubing. Not sure about the source for the information in Plumers book. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
You can reference this with with CDC_HICPAC guidelines, alone lipids can hang a maximun of 12 hours. If mixed in a solution the time is extended to maximum 24 hours. You can also reference and article written by LE Perry in Drug Topics, a magazine written for pharmacists which will give you the same guidelines. Terri
But the CDC does state that if volume is a consideration the infusion could be completed over 24 hours. Look at the references for this, 1975, and 2 from 1984. I will be curious to see if they make any changes in the revised guidelines due out this year. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thanks Lynn. I just looked at the CDC guidelines draft due out this year and it does state to complete the infusion of lipid emulsions alone within 12 hours of hanging then goes on to say that if volume considerations require more time it can be completed within 24 hours. Of course this info is from the draft.
Valorie Dunn,BSN, RN, CRNI, PLNC