Our facility infrequently uses PPN for patients with post-op ileus who may require just 1-2 weeks of parenteral nutrition and otherwise don't have or need central access. Due to osmolarity we require lipids run simultaneously with the dextrose/amino acids compomnent of the PPN. We have had events where the lipids were not run concurrently. This has led to discussion of a 3-in-1 PPN formulation. Our TPN (central parenteral nutrition) would remain a 2-in-1.
Does anyone utilize a 3-in-1 PPN (peripheral) formulation at their site? Thank you kindly.
-Mack-