8.2 TPN

Question 1

3 macronutrients

Answer 1

Dextrose(carbohydrate)
Lipid
Amino acid(protein)

Question 2

Different formulas infuse through what veins
Which has higher concentration

Answer 2

Peripheral formula
- small peripheral vein e.g. Baslic veins
- low concentration of dextrose
Central formula
- large central vein e.g. subclavian veins
-high (long term)

Question 3

Keep TPN solution under __ temp but __

Answer 3

25
Do not freeze

Question 4

Must be change every __ hours

Question 5

Why PVC free infusion set

Answer 5

Keep property of intravenous fat emulsion intact and reduce risk of toxic effects

Question 6

Use ___ antiseptic solution for skin and connection ports
Provide __ s vigorous scrub with friction and __ s for allowing dry throughly

Answer 6

2% chlorohexidine in 70% alcohol
15
30

Question 7

Change needless device end cap every __ hours to prevent bacterial contamination

Answer 7

72

Question 8

Flushing with __ ml NS
Use what method technique

Answer 8

10
Dynamic pulsatile and positive-pressure method of flushing

Question 9

Cleanse starting at __ site
in a __ motion

Answer 9

Exit site
Outward as circular motion

Question 10

Monitor blood glucose level Q_H
Aims at ___ mmol/L

Answer 10

6
4-10

Question 11

What happen if discontinue TPN immediately

Answer 11

Rebounding hypoglycaemia
So tapering

Question 12

Main complication

Answer 12

Catheter-related bloodstream infections