Total Parenteral Nutrition Flashcards Preview

Remar Review > Total Parenteral Nutrition > Flashcards

Flashcards in Total Parenteral Nutrition Deck (14)
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1
Q

Who needs TPN?

A

The person who has a GI tract that’s not functions properly

For real serious problems

2
Q

What labs to monitor?

A

Blood glucose levels

TPN mostly made of dextrose
Dextrose has strong amount of sugar in it causing to experience problems with hyperglycemia

3
Q

How often does the nurse change the tubing?

A

Everyday(24 hrs) because the sugar is so high in the TPN that it is cesspool for bacteria ! Especially if it’s it sitting out and room temperature

4
Q

What electrolyte imbalances can TPN cause?

A

Hyperglycemia
Hyperkalemia
Hypeemagnesemia
Hyperphosphatemia

5
Q

What is your emergency substitute for TPN?

A

10% Dextrose

6
Q

How do you stop TPN?

You always place TPN on what ___?

A

U don’t stop it abruptly u gradually stop TPN

Always place on a pump never let it run till gravity

7
Q

What are the nutrients going through?

A

Veins

8
Q

A clients nutrients are supplied through?

A

Veins

9
Q

If TPN is suddenly increase, client is at risk for__ ?

A

Hyperglycemia due to the gradual increase rate of infusion

10
Q

What medications can be hung with TPN tubing?

A

None; never do this

11
Q

Why must tubing be changed daily?

A

TPN increases risk for bacteria forming tubing

To decrease risk for sepsis

12
Q

Elevation in temperature is a sign of?

A

Infection

13
Q

Why must TPN be gradually decrease?

A

To prevent rebound hypoglycemia

14
Q

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

A

10% dextrose water

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