First, I would ask why you are using a needleless injection
system for a continuous infusion? I have never seen the need for
this.
The CDC guidelines state that these injection systems need to be
changed at the same time that the tubing is changed. When lipids are
infusing, this means changing every 24 hours. Without lipids, you can
change tubing and injection system every 72 hours.
If it has to be changed at the same time, and it adds another
connection plus cost, I can not see the need for its use with any
continuous fluid. The only possible reason I have heard would be to
make it easier for disconnection while the patient takes a shower. But
should IV fluids such as TPN or any other medication be stopped for
that period?
Lynn
At 3:44 PM -0700 9/20/06, sandy damico wrote:
What is the protocol for add on valve changes when infusing TPN with lipids?
Thank you,
Sandy
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
