HOPE SOMEONE CAN ANSWER THIS ONE FOR ME;
IF A PT HAS AN EXISTING CENTRAL LINE, CAN IT BE USED FOR TPN, WITHOUT INCREASING THE INFECTION RISK?
Wendy Erickson RN
Eau Claire WI
I agree. The concept of the so-called "virgin" line for TPN is not found in the guidelines from any organization and I have never even found an article stating an opinion that this is necessary. So use what you have already in place but from that point on, it must be dedicated to nothing but TPN/lipids.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
I don't recall anything stating that. Can you give use the reference? Thanks
So, I have a question. If you have a homecare patient with a single lumen tunneled catheter for TPN, ends up with a UTI or cellulitis, requiring IV antibiotics once or twice daily, and the TPN is given only at night over 12 hours, you would put in a second line, say a PICC, for the antibiotic?
Halle Utter, RN, BSN
Intravenous Care, INc
Hallene E Utter, RN, BSN Intravenous Care, INC
Not always for the situation you described. You have to weigh the risk vs the benefits for each patient. When you routinely piggyback secondary fluids and medications into a TPN line, you have 2 problems - compatibility and infection. When you use the same catheter for sequential infusion as you described, the compatibility issue goes away but you still have the increased hub manipulation which increases the risk of contamination and subsequent infection. It is a case-by-case decision.