exam 3: parenteral nutrition Flashcards

1
Q

carb supplied as _____

A

dextrose

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2
Q

carb as dextrose ____ calories/gram

A

3.4

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3
Q

lipid supplied as ______ ______

A

fat emulsion

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4
Q

____% of fat emulsion has ____ kcal/mL

A
  • 10%

- 1.1 kcal/mL

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5
Q

what is a cracked TPN solution?

A

separation of the oil and water components of the emulsion

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6
Q

simple IV solution contains

A
  • water
  • dextrose
  • electrolytes
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7
Q

simple IV solution:

___ liters provides ___ kcal/day

A
  • 3 L

- 510 kcal/day

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8
Q

sites for parenteral nutrition

A
  • peripheral vein (PPN)

- central vein (TPN)

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9
Q

does TPN or PPN supply more calories?

A

-TPN

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10
Q

average time PPN stays in

A

a week to 10 days

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11
Q

what is required when using peripheral parenteral nutrition?

A

normal kidney function

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12
Q

TPN: up to _____cal/day

A

3,000

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13
Q

PPN: about _____ to ____ calories

A

1,500-2,000

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14
Q

what type of parenteral nutrition is used long-term in severely malnourished patients?

A

total parenteral nutrition (TPN)

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15
Q

______ infusions can cause adverse reactions

A

lipid

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16
Q

___ makes it difficult to maintain the integrity of veins

A

PPN

17
Q

high concentrations of _____ can’t be given in ____ veins

A
  • dextrose

- small

18
Q

can cause hypoglycemia if stopped too quickly

A

TPN

19
Q

cyclic infusions of lipids can prevent the development of a ____ ______

A

fatty liver

20
Q

monitor ___ ____ levels when using parenteral nutrition

A

blood sugar

21
Q

____ at greater risk than ___ for infection

A
  • TPN

- PPN

22
Q

start and stop nutrition _____ to adjust to ____ and high ___

A
  • slowly
  • osmolality
  • dextrose
23
Q

monitor ___ and ____levels a few times a week when receiving parenteral nutrition

A
  • electrolytes

- BUN