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NURS232-UNIT I, I

LAMARTINA TPN/PPN

QuestionAnswer
TPN/PPN is indicated when the body is in what type of state? hypermetabolic
trauma, burns and cancer patients may require TPN/PPN because they may cause? hypermetabolic states
patients with impaired nutritional status are at high risk for complications from what? surgery or anesthesia
hypermetabolic states may affect healing, clotting and result in a negative ____ ______ nitrogen balance
tpn/ppn are very _____ solutions hypertonic
the preferential route for total parenteral nutrition is through a central line
a patient on fluid restrictions should not receive peripheral parenteral nutrition
for a patient with a caloric need of 1500 calories a day will more than likely be placed on peripheral parenteral nutrition
a patient that requires more than 2000 calories a day will more than likely be placed on total parenteral nutrition
TPN and PPN have the same ___ with different ___ composition; concentrations
parenteral nutrition with a high concentration of dextrose should be given through what type of line? central
what is the maximum percentage of dextrose in a solution given via periheral lines? twelve
the higher the osmolarity of the solution the more ____ it is hypertonic
three percent amino acids in a parental nutrition solution should be given through a ____ line central
1 gm of dextrose equals __ calories 3.4
1 gm of protein equals __ calories 4
1 gm of fat equals __ calories 9
TPN with lipids will require what size of micron filter? 1.2
TPN without lipids will require what size of micron filter? 0.2
the micron filter needed for tpn with out lipids is ___ than the filter needed for tpn with lipids smaller
lipids included in tpn requires a __ micron filter larger
lipids are ___ than the other components of tpn/ppn larger
if lipids are piggybacked with tpn/ppn they should be hung above or below the filter? below
why don't you hang lipids in a way that they would run through the tpn filter? they won't filter throught because they are too large
what is the most important thing to assess regarding tpn at the beginning of a shift how much tpn is left and when it will need to be replaced
how often are tpn bags & tubing replaced q 24hrs
why do we replace tpn bags & tubing so often? to reduce the risk for infection because bacteria love dextrose
when preparing to enter a room to assess an IV site what should you bring with you in addition to the dressing and materials needed to change the dressing? culture swabs
how long can tpn sit at room temp? 30 minutes
after removing the tpn from the refrigerator how soon can you infuse it? 30 minutes
can you hang tpn that has just been pulled from the refrigerator? no
what four ongoing assessments are important when administering tpn? blood sugar, iv site, I&O, daily weights
if a decrease in urine is detected in a patient receiving tpn/ppn what should you check? blood sugar
a decrease in urine would indicate what level of blood sugar? high
hot and dry, sugar's __ high
hyperglycemia --> ____ _____ --> ______ osmotic diuresis; dehydration
what should you have stocked on the floor if a patient is receiving tpn/ppn? D10
carbs --> H20 + CO2 --> _____ state acidotic
an acidotic state is manifested by respiratory distress
a complication of tpn therapy caused by carbohydrates respiratory distress
what action should you take if a patient is showing signs of respiratory distress leave tpn running, get a bs and call the dr
should you stop tpn if a patient experiences an increase in urine output or respiratory distress? no
how should tpn be discontinued? gradually
tpn should be discontinued over _____ 4-6 hours
what will be assessed every 2 hours while weaning a patient from tpn? blood sugar
a normal blood sugar at 2 hour intervals will indicate what change to tpn reduction of flow rate by half
daily labs are drawn for ____ and ____ imbalances on the pt receiving tpn fluid and electrolyte imbalances
what is the risk if tpn is stopped abruptly? the blood sugar will drop quickly
go over the complications of tpn therapy
Created by: Lori Dobrisky
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