Forums › Questions › Lipid infusion during blood transfusions in adults patients receiving TPN › Holding PN during blood transfusion
The practice of holding PN during blood transfusion is to avoid fluid load in short time that may affect cardiopulmonary system.
The average of blood transfusion is between 1 to 4 hrs depending on the number of units. except platelets that may take just less than one hour. In case of blood transfusion,, you have taper PN rate by half for at least one hour depends on the dextrose concentration in PN.( no need if patient receiving peripheral PN).
Also, you may recommend finger-stick at the mid of blood transfusion.
Regarding IV lipids, you may advise the nurse to begin IV lipids after blood transfusion is completed.
My thoughts are as follows: