exam 3: parenteral nutrition Flashcards
carb supplied as _____
dextrose
carb as dextrose ____ calories/gram
3.4
lipid supplied as ______ ______
fat emulsion
____% of fat emulsion has ____ kcal/mL
- 10%
- 1.1 kcal/mL
what is a cracked TPN solution?
separation of the oil and water components of the emulsion
simple IV solution contains
- water
- dextrose
- electrolytes
simple IV solution:
___ liters provides ___ kcal/day
- 3 L
- 510 kcal/day
sites for parenteral nutrition
- peripheral vein (PPN)
- central vein (TPN)
does TPN or PPN supply more calories?
-TPN
average time PPN stays in
a week to 10 days
what is required when using peripheral parenteral nutrition?
normal kidney function
TPN: up to _____cal/day
3,000
PPN: about _____ to ____ calories
1,500-2,000
what type of parenteral nutrition is used long-term in severely malnourished patients?
total parenteral nutrition (TPN)
______ infusions can cause adverse reactions
lipid
___ makes it difficult to maintain the integrity of veins
PPN
high concentrations of _____ can’t be given in ____ veins
- dextrose
- small
can cause hypoglycemia if stopped too quickly
TPN
cyclic infusions of lipids can prevent the development of a ____ ______
fatty liver
monitor ___ ____ levels when using parenteral nutrition
blood sugar
____ at greater risk than ___ for infection
- TPN
- PPN
start and stop nutrition _____ to adjust to ____ and high ___
- slowly
- osmolality
- dextrose
monitor ___ and ____levels a few times a week when receiving parenteral nutrition
- electrolytes
- BUN
