LINKS TO RELATED MONOGRAPHS AND OTHER INJECTABLE ROUTES:
MEDICINE NAME: / TRADE NAME(S):
Triomel N4-700E
TriomelN5-990E
Triomel N7-1140E
Triomel N9-1070 / Triomel ®
PRESENTATION OF MEDICINE:
Infusion bags (1500ml, 2000ml or 2500ml) containing an emulsion for infusion
METHOD OF ADMINISTRATION:
TPN must be given via a dedicated intravenous line which must be reserved for TPN only.
Triomel N4-700E– can be given peripherally or centrally. Always check on the prescription
TriomelN5-990E, Triomel N7-1140E, Triomel N9-1070– central only
INSTRUCTIONS FOR RECONSTITUTION:
N/A – not to be manipulated by ward staff
INSTRUCTIONS FOR DILUTION AND SUITABLE DILUENT:
N/A
FLUSHING:
Flush with 0.9% sodium chloride.
ADVERSE EFFECTS WHICH MAY BE CAUSED BY AN INJECTABLE ADMINISTRATION AND SUGGESTED MONITORING:
Monitor for any signs and symptoms of allergic reaction (such as sweating, fever, chills, headache, skin rashes, or dyspnea)– Stop infusion immediately
EXTRAVASATION:
No significant reactions known due to extravasation
COMPATIBILITY INFORMATION USEFUL IN CLINICAL PRACTICE:
Infuse via dedicated line.
SPECIAL HANDLING PRECAUTIONS:
Aseptic non-touch technique (ANTT) by fully trained staff when handling the central or peripheral feeding catheter.
Keep all TPN bags covered to protect from sunlight.
Store in fridge until use.
SODIUM CONTENT (mmol/L):
Triomel N4-700E =21
TriomelN5-990E = 35
Triomel N7-1140E = 35
Triomel N9-1070 = 35
OSMOLARITY (mOsm/l):
Triomel N4-700E =760mosm/L
TriomelN5-990E =1120mosm/L
Triomel N7-1140E = 1360mosm/L
Triomel N9-1070 = 1310 mosm/L
pH:
Triomel N4-700E =6.4
TriomelN5-990E =6.4
Triomel N7-1140E =6.4
Triomel N9-1070 = 6.4
OTHER COMMENTS:
-Daily inspection of the line site and record daily VIP scores
-Monitor blood glucose
-Maintain fluid balance chart and monitor carefully
-Monitor FBC, U&Es, calcium, magnesium, phopshate and LFTs
-TPN bags contain soybean oil, egg phosphatide and peanut proteins. Check for allergies
PRODUCT RISK FACTORS: Risk Assessment of a common preparation (as required by NPSA Patient Safety Alert 20)
USUAL TOTAL RISK FACTORS: 2 OVERALL RISK RATING: Green
OTHER INJECTABLE ROUTES OF ADMINISTRATION:NIL
PHARMACY NOTES:
Refer to TPN Guidelines: 209.5 ADULT PARENTERAL NUTRITION GUIDELINE
CURRENT MANUFACTURERS / DISTRIBUTORS / LICENCE HOLDERS:Baxter Healthcare Limited
Caxton Way
Thetford
Norfolk
IP24 3SE
United Kingdom
DELETED MANUFACTURERS / DISTRIBUTORS / LICENCE HOLDERS:
REFERENCES:
- Trust Guideline: 209.5 Adult Parenteral Nutrition Guideline
- SPC for Triomel N4-700E, emulsion for infusion via
- SPC for Triomel N5-990E, emulsion for infusion via
- SPC for Triomel N7-1140E, emulsion for infusion via
- SPC for Triomel N9-1070, emulsion for infusion via
- COSHH report compiled by manufacturer
- Guidelines for writing and updating monographs for the Injectable Medicines Guide website, January 2010
Version
DATE PUBLISHED: / DATE PRINTED: