MS RLE SESSION 1 (TPN)

Question 1

FORM OF NUTRITIONAL SUPPORT TNAT SUPPLIES PROTEIN, CARBOHYDRATE, FATS, ELECTROLYTES, VIT, MINERALS AND FLUIDS VIA IV ROUTE

Answer 1

HYPERALIMENTATION OR PARENTERAL NUTRITION

Question 2

A HYPEROSMOLAR SOLUTION EXCEEDING 10% DEXTROSE AND/OR 5% PROTEIN THAT ADMINISTERED THROUGH A CENTRAL VENOUS CATHETHER

Answer 2

TOTAL PARENTERAL NUTRITION (TPN)

Question 3

CONTAINS THE SAME COMPONENTS AS TPN EXCEPT THE FINAL CONCENTRATIONS ARE DEXTROSE 10% LOWER AND/OR 5% PROTEIN OR LOWER

Answer 3

PERIPHERAL PARENTAL NUTRITION (PPN)

Question 4

IN TPN, THESE ARE LIKELY TO OCCUR WHEN THE HYPERTONIC SOLUTIONS ARE INFUSED INTO LARGE VESSELS WITH RAPID BLOOD FLOW AND DILUTION.

Answer 4

IRRITATION AND SCLEROSING

Question 5

VEINS THAT ARE COMMONLY USED IN TPN IN A SHORT-TERM INTERVENTION (LESS THAN 4 WEEKS)

Answer 5

SUBCLAVIAN AND JUGULAR VEINS

Question 6

WHAT ARE THE 3 CATHETER WHEN TPN IS ANTICIPATED FOR AN EXTENDED PERIOD (GREATER THAN 4 WEEKS)

Answer 6

PERIPHERALLY-INSERTED CENTRAL CATHETER (PICC)
TUNNELED CATHETER
PORT-A-CATH

Question 7

INTERRUPTION OF INFUSION FOR A PEROID OF TIME (RECEIVES A 24-HOUR VOLUME OF TPN OVER A 10-14-HOUR PERIOD) IS ROUTINELY USED FOR CLIENTS RECEIVING HOME INFUSION THERAPY DELIVERED DURING THE SLEEPING HOURS

Answer 7

CYCLING

Question 8

SERIOUS COMPLICATION OF PARENTERAL NUTRITION DUE TO THE HIGH GLUCOSE CONCENTRATIONS THAT READILY SUPPORT MICROBIAL GROWTH

Answer 8

INFECTION

Question 9

PREVENTION OF INFECTION AT THE SITE AND IN THE SOLUTION IS ACCOMPLISHED BY USING STRICT?

Answer 9

ASEPTIC TECHNIQUE

Question 10

PREVENTION OF INFECTION AT THE SITE AND IN THE SOLUTION IS ACCOMPLISHED BY USING STRICT?

Answer 10

ASEPTIC TECHNIQUE

Question 11

TPN COMPLICATION THAT OCCUR IF THE HYPEROSMOLAR SOLUTION IS INFUSED TOO QUICKLY, DRAWING FLUID INTO THE CIRCULATORY SYSTEM

Answer 11

FLUID OVERLOAD

Question 12

COMPLICATIONS THAT CLIENT EXPERIENCE HYPERGLYCEMIA IF THEY ARE UNABLE TO TOLERATE THE HIGH GLUCOSE CONTENT OF THE TPN SOLUTION

Answer 12

METABOLIC COMPLICATIONS

Question 13

3 PURPOSES OF TPN

Answer 13

1) PROVIDE PARENTERAL NUTRITIONAL SUPPORT TO MALNOURISHED CLIENTS.

2) PROVIDE PARENTERAL NUTRITIONAL SUPPORT TO CLIENTS REQUIRING BYPASS OF THE GI TRACT FOR THE PROLONGED PERIODS.

3) PROVIDE PARENTERAL NUTRITIONAL SUPPORT TO CLIENTS WHO HAVE EXCESSIVE METABOLIC NEEDS DUE TO TRAUMA, ANCER, OR HYPERMETABOLIC STATES

Question 14

INDICATIONS OF TPN

Answer 14

INSUFFICIENT ORAL OR ENTERAL INTAKE
IMPARED ABILITY TO INGEST OR ABSORB FOOD ORALLY OR ENTERALLY
THE PATIENT IS UNWILLING OR UNABLE TO INGEST ADEQUATE NUTRIENTS ORALLY OR ENTERALLY
PREOPERATIVE AND POSTOPERATIVE NUTRITIONAL NEEDS ARE PROLONGED