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Flashcards in TPN Deck (10)
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1
Q

TPN

A

Total Parenteral Nutrition

2
Q

Tonocity of TPN solution

A

Hypertonic

3
Q

TPN may be given via

A

PICC line or Tunneled catheter

4
Q

TPN is prepared

A

Daily

5
Q

TPN dressing change is done with __________ asepsis

A

Surgical

6
Q

Lab value to check ever 4-6 hours during TPN admin:

A

Blood Glucose

7
Q

A new TPN bag is hung every

A

24 hours

8
Q

T/F: A new filter is hung with each bag of TPN

A

True

9
Q

Fat Emulsion Parenteral Nutrition

A

Isotonic, may be given through peripheral or central vein; good for DM patients; Additives should not be put into fat emulsion solution; Examine bottle for: layers, fat globules, froth accumulation-if present: send back to pharmacy; may contain egg (allergy); monitor VS every 10 mins for 1st 30 mins of admin; serum lipids are checked 4 hours after discontinuing the infusion

10
Q

Complications of Parenteral Nutrition

A
  • Air Embolism (Air entry occurs on IV tubing Changes; Tubing disconnection)
  • Hyperglycemia (Infusion is too fast; Not enough insulin)
  • Hypoglycemia (PN abruptly discontinued; Too much insulin)
  • Hypervolemia (Excessive fluid given or too fast; Renal dysfunction; Heart Failure; Hepatic Failure)
  • Infection (Poor aseptic tech; Catheter contamination; Contamination of solution)
  • Pneumothorax (Inexact catheter placement)