I have a question regarding Clinimix TPN solutions. Are there any facilities that are still adding electrolytes to the Clinimix bags? There has been discussion amongst our pharmacists at my facility that adding electrolytes would interfere with the pH of the resulting TPN. Then most recently, ER requested KCL 10mEq with Na Phos 15mmol mixed together in an IVPB. There was some question as to the pH of this mixture. Does anyone have a protocol as to adding electrolytes to TPN or even IVPB in general?

Thank you,
Michelle Voss
King's Daughters Health
Madison, IN