Hyperalimentation (TPN)

Question 1

PPN (peripheral parenteral nutrition) & TPN (total parenteral nutrition) are the same thing. T OR F?

Answer 1

T!

Question 2

Although TPN is kept refrigerated, should it be warmed before administration?

Answer 2

yes

Question 3

How do you warm it up before giving?

Answer 3

sit it out on the counter

Question 4

which line do you need to give TPN through?why?

Answer 4

a central line; it’s packed with particles (glucose) and sugar/particles eat up peripheral veins.

Question 5

Are you gonna use a filter?

Answer 5

yes

Question 6

Can you give meds through that line?

Answer 6

no; it’s a dedicated line. although there may be several ports in a central line, but that PORT itself can ONLY be used for TPN *REVIEW CENTRAL LINE CARE*

Question 7

When we discontinue TPN, we do so gradually because we want to avoid____

Answer 7

hypoglycemia. NEVER JUST GO IN THE ROOM AND TURN IT OFF.

Question 8

Why do you want to do daily weights?

Answer 8

we want the patient to gain weight.

Question 9

would they need to start taking insulin. why?

Answer 9

yes; TPN has a high concentration of glucose

Question 10

You’d check the urine for what 2 things?

Answer 10

glucose and ketones

Question 11

Why is TPN NEVER mixed ahead of time?

Answer 11

each dose is different based on the patient’s electrolyte levels

Question 12

How long can it only be hung for?

Answer 12

24 hrs

Question 13

how often to change the tubing?

Answer 13

change tubing with each new bag

Question 14

Why would the bag be covered with a dark bag?

Answer 14

to prevent chemical break down

Question 15

does it need to be on a pump?

Answer 15

yes

Question 16

At home, we must emphasize_____

Answer 16

handwashing; the most frequent complication is infection