TPN

Question 1

TPN prevents catabolism of ___ from muscles and ____ from subcutaneous

Answer 1

Protein ,Fats

Question 2

Composition of TPN is. % of amino acids, % dextrose vitamins minerals, trace elements and electrolytes and water

Answer 2

3-15, 25%

Question 3

added to TPN to minimize hyperglycemia and ____ to prevent clotting

Answer 3

Insulin, Heparin

Question 4

TPN w/ amino acids and dextrose in 2-3L is infused over __Hr

Answer 4

24

Question 5

intermittent infusion of % fats is givrn - times weekly

Answer 5

10, 1-3

Question 6

this contains amino acids dextrose and lipids

Answer 6

TNA

Question 7

peripheral line is used for nutrient ______ and often used up to __ days with a maximal dextrose cont of ___ % to prevent irritation of blood vessels

Answer 7

supplementation, 7 , 10

Question 8

__G middle lumen used in Central line site and this site is used only for ___ weeks or less

Answer 8

18, 4

Question 9

this catheter is inserted into the basilic or cephalic vein to svcava

Answer 9

PICC

Question 10

TPN is indicated for patients who cannot tolerate ____ nutrition because of give 3

Answer 10

enteral, paralytic ileus, intestinal obstruction, acute pancreatitis, IBD, Gastrointestinal fistulas, severe diarrhea, persistent vomiting, Malabsorption

Question 11

TPN is indicated for pt who has hypermetabolic state such as give 2

Answer 11

Npo for >7 days, acute renal failure, multiple fracture; tumor in GI tract

Question 12

Keep TPN solution refrigerated until ___ to __ minutes before use to retard bacterial growth

Answer 12

30-60

Question 13

Change TPN bag and tubing every __hrs

Answer 13

24

Question 14

Filter use in Iv tubing if TPN is without lipids

Answer 14

0.22 micron filter

Question 15

Filter use in Iv tubing if tpn is with lipids

Answer 15

1.2 micron filter

Question 16

TPN rate is often started low at ___ ml /hr and i creased to ___ ml/hr as pt tolerates

Answer 16

50 - 125

Question 17

Lipid infusion rate begins at a rate of __mL/hr

Answer 17

1

Question 18

post lipid infusion, monitor vs q ___ for first hr and measure serum lipid __ hrs post infusion

Answer 18

10 mins, 4

Question 19

if new TPN is not available after one has infused, hang temporarily a _____ at prescribe rate to prevent ____ until availability of another TPN

Answer 19

10% dextrose in water solution, hypoglycemia

Question 20

if scheduled infusion is not followed, it may be restarted to a rate of ___% higher than the proginal rate to restore lost nutrients or catch up

Answer 20

10

Question 21

give three evaluation for TPN

Answer 21

1. weight gain
2. F&E normal
3. TPN complication free

Question 22

what is instructed to PT to prevent air embolism during tubing and cap changes

Answer 22

Valsalva maneuver

Question 23

Monitor blood glucose every ___ hrs or administer ___ insulin to keep glucose less than 200

Answer 23

6 , regular

Question 24

hang 10% dextrose in water for _ to _ hrs post TPN and monitor blood glucose __ hr after termination of TPN

Answer 24

1-2 , 1