Total Parenteral Nutrition

Question 1

A client’s nutrients are supplied through _____

Answer 1

Veins

Question 2

Why would a client need TPN?

Answer 2

If GI tract wasn’t working properly

Question 3

What needs to be monitored closely?

Answer 3

Blood sugars; due to dextrose in TPN

Question 4

If TPN is suddenly increased, client is at risk for?

Answer 4

Hyperglycemia due to gradual increased rate if infusion

Question 5

What other electrolyte imbalance can TPN cause?

Answer 5

Hyperkalemia, hypermagnesemia, hyper-phosphatemia

Question 6

How often do you change the TPN bag?

Answer 6

Every 24 hours

Question 7

What medications can be hung with TPN tubing?

Answer 7

None; never do this

Question 8

Why must tubing be changed daily?

Answer 8

To decrease risk for sepsis

TPN increase risk for bacteria to form in tubing

Question 9

Elevation inn temperature is a sign of?

Answer 9

Infection

Question 10

Why must TPN be gradually decreased?

Answer 10

To prevent rebound hypoglycemia

Question 11

If TPN is unavailable, which IV fluid can be hung as a temporary substitution?

Answer 11

10% dextrose water