Hi - my institution has been tubing baby starter TPNs, but I am not able to find any data supporting this practice. We do not tube adult TPNs. Our starter TPNs have dextrose, amino acids, calcium (or heparin). Wondering if other institutions tube or hand deliver baby starter TPNs?

What does your facility use for NeoNatal Starter TPNs? Do you use a pre-made product or does the pharmacy prepare the starter solution?
If pharmacy prepares the solution, what is the formula/recipe used and what is the reference used to confirm stability of the recipe?

We are looking for stability data for our formula and our facility does not allow for extrapolation. If anyone knows of literature that supports extrapolation of concentrations, please share.

Many thanks!