EN & PN

Question 1

What is the maximum hang time for an open system in the home setting?

Answer 1

12hrs

Question 2

What are the three types of catheters approved for home PN?

Answer 2

PICCs, tunneled CVCs, and implanted ports

Question 3

What is the hang time for blenderized and reconstituted EN formulas?

Answer 3

4 hrs

Question 4

What is the max grams/kg/day of carbohydrates for PN in adults?

Answer 4

7g/kg/day

Question 5

What is the max grams/kg/day of protein for PN in adults?

Answer 5

2g/kg/day

Question 6

What is the max grams/kg/day of fat for PN in adults?

Answer 6

2.5g/kg/day

Question 7

What is the max mL/kg/day of fluid for PN in adults?

Answer 7

30-40mL/kg/day

Question 8

How often should BG be checked in a diabetic PT on PN?

Answer 8

Every 2-6hrs

Question 9

What is the max glucose infusion rate for pts with DM on PN?

Answer 9

5mg/kg/min

Question 10

What is the estimated initial amount of insulin to add to PN for a pt with DM?

Answer 10

0.05-0.1 unit insulin/gm dextrose

Question 11

Hyperglycemia and a patient receiving PN is associated primarily with what type of sodium/fluid and balance?

Answer 11

Hypertonic hyponatremia

Question 12

When starting PN in critically ill pts, how long is hypocaloric feeding recommended?

Answer 12

1 week

Question 13

What are the kcal and protein targets in hypocaloric feeding in EN and PN?

Answer 13

80% of estimated kcal needs, at least 1.2g/kg protein

Question 14

PICC lines should be used for short term therapy no longer than ______ months?

Answer 14

Three months

Question 15

What is the gold standard lab to identify essential fatty acid deficiency assessment?

Answer 15

Triene:tetraene ratio