When infusing the TPN you have massive amount of tiny air bubbles in the bag The pharmancy you are using have gone from 1 large bag holding the total amount of feeding to 2 smaller bags?

The presence of massive amounts of tiny air bubbles in the TPN bags could indicate a problem with the mixing or packaging process, which may impact the safety and efficacy of the nutrition being delivered. Transitioning from one large bag to two smaller bags might have introduced more opportunities for air incorporation during handling or transfer. It’s crucial to ensure that the TPN is properly degassed and that air bubbles are minimized before administration, as this can lead to complications such as air embolism. Consult with pharmacy staff to address the issue and ensure the TPN is safe for infusion.