Which port for tpn

Suppose you turned your patient over and the line took a yank, got pulled out a couple of inches. If you were infusing pressors through the proximal port - perfectly ok in a properly situated line - and those pressors now began infusing into the tissue on account of the port was pulled back out of the vessel - that would be a bad thing. As a stopgap you could switch the pressor infusion to the distal port, get your x-ray, and think about getting the line replaced.

Specializes in Hospice, Critical Care. Has 17 years experience. If you do have CVP readings, you must have your transducer connected to the distal port.

Sign In Register Now! Search Search. Nurses Nursing. Which port is used in a triple lumen central line? Posted Feb 7, Register to Comment. Prev 1 2 Next. Originally posted by Dawson Got my chops busted yesterday in clinicals for not knowing which port is used for what in a triple lumen central line which port for IV fluids, which for TPN, etc. Thank you very much.

I will definitely remember! Many patients get ports for TPN, especially if they will be accessing it themselves on a daily basis. With no differential in the type of central vascular access device to be used. Access RN , Inc. Same thing at my facility. They didnt want the high potential for infection with TPN infusing thru the port. Thanks everyone for answering, but I am asking for written proof.

Like a study. I know that TPN has high potential for infection, but it is put thru ports a lot, and I know for fact that a PICC has a higher infection and complication rate than the port, so who is to say the PICC will not become infected and infect the port anyway.

If the patient goes septic, all lines would have to be removed. Specializes in Surgical, quality,management. Has 12 years experience. Yes choose a line and stay with it. TPN has a high glucose content so is a huge risk for bacterial growth. Also the line can become "sticky" altering the delivery of other drugs. Ever made TPN up?

Rolling the bag to break the compartments was a huge risk of getting covered in sticky stinky fluid requiring a clothing change.

Specializes in Hospital Education Coordinator. Also, if you have dedicated ports for TPN then if it clogs up you can still give meds and blood and find another route for nutrition. Might be a life-saving measure at some point. As of December, , PACs had been in place for days cumulative 10, days with entries into the system. The PACs were used for blood sampling and administration of chemotherapy, antibiotics, fluids, total parenteral nutrition TPN , and blood products.