FAT EMULSION INFUSION FREE

Monitor vital signs every 4 hours or as needed.Д®nables prompt detection of complications.Д©b Monitor blood glucose as ordered by the healthcare prescriber. Infectious complications: localized site infection, sepsis Metabolic complications: hypoglycemia, hyperglycemia, electrolyte imbalances, azotemia, carbon dioxide retentionД¬atheter-related problems: breakage, dislodgment, occlusion This enables child to more readily engage in developmentally appropriate activities and lead a more normal lifestyle.ДЁb Gradually increase flow rate at initiation of high concentrations of dextrose and protein.Д©a Monitor child regularly during infusion for

FAT EMULSION INFUSION FREE

KidKare Administer parenteral nutrition during the night whenever possible so that the child will be free of the tubing and infusion device during the day. Start the infusion device.Д®nsures accurate delivery of the solution.ДЁa Infuse over allocated time period infusions may be started over a longer time (16-18 hours) and decreased down to 8-10 hours following the healthcare prescriberвЂ™s orders.ДЄllows body to adapt to metabolizing increasing amounts of dextrose. All administration sets are Luer-Lok design.Д¦d Ensure that all the connections are secure.Д§ Initiate infusion by setting electronic infusion device to ordered flow rate. Central lines should have a blood return, or confirmed patency before each use.Д¦c Secure the tubing to device as appropriate or recommended by the manufacturer. If no blood return from central line, notify healthcare provider, follow organizational policy to declot lines if central line is clotted.ДЇlushing ensures patency of the line and clears any medication from the line.

When IVFE is administered intermittently, use a new administration set with each infusion.Д¦a Scrub the catheter port with appropriate antiseptic for 15 seconds.Дecreases potential of introducing pathogens because there is a greater potential for pathogen growth and contamination as a result of the dextrose and protein content of the solution.Д¦b Flush infusion device with normal saline (0.9% NS) and check for patency. Administration sets that have been used for PN and have a piggybacked IVFE must be changed every 24 hours. Immediately report any signs or symptoms of infection to the healthcare prescriberДҐa If tubing does not have micron filter, add 0.2-micron filter to the tubing.ДҐc Prime the tubing according to the manufacturerвЂ™s directions.ДҐd Attach to electronic infusion device according to the manufacturerвЂ™s directions.Д¬hange administration sets, using aseptic technique, no more often than every 96 hours without fat emulsion and immediately upon suspected contamination or when the integrity of the product or system has been compromised to help reduce chance of bacterial growth. Reduces incidence of solution being administered to the wrong child.Д¤ Examine the infusion device and site for type, placement, patency, and signs of infection. Match identification with label on the solution bag. Reduces chance of child receiving incorrect or contaminated solution.ДЈb Identify the child utilizing two different patient identifiers. Do not infuse if the solution has expired, is cloudy, has crystals, or has leaks. Examine solution and container for clarity, signs of contamination, or particles. Verify label against the healthcare prescriberвЂ™s orders. Microwaving may cause the solution to heat unevenly and deterioration of components within the solution.ДЈa Inspect solution. Never warm the solution in a microwave use warm water bath if necessary. Infusing a cold solution may cause hypothermia. Reduces transmission of microorganisms.Дў Place the solution bag on clean work surface. Promotes efficient time management and provides an organized approach to the procedure.

Fat emulsion infusion