Rate: For adults, the initial infusion rate should be 1 mL/min for the 10% solution and 0.5 mL/min for the 20% solution for the first 15–30 min.Maximum hang times for fat emulsion alone or for admixtures with dextrose and amino acids is 24 hr.
#EMULSION MEANING FREE#
If signs of overloading syndrome (focal seizures, fever, leukocytosis, splenomegaly, shock) or elevated triglyceride or free fatty acid levels occur, infusion should be stopped and the patient re-evaluated prior to reinstituting therapy. Monitor serum bilirubin, cholesterol, and hepatic function weekly, especially in premature infants to prevent hyperlipidemia.Monitor hemoglobin, blood coagulation, and platelet count weekly, especially during continuous therapy.Lipemia must clear between daily infusions. Lab Test Considerations: Monitor triglyceride and fatty acid levels routinely to determine patient’s capacity to eliminate infused fat from the circulation.Acute hypersensitivity reaction with pruritic urticaria may occur in patients allergic to eggs. Assess patient for allergy to eggs prior to therapy.Monitor weight every other day in adults and daily in infants and children receiving fat emulsion to assist in meeting caloric requirements.
Emulsion for IV Use: 10%, 20%, 30% Nursing implications Nursing assessment