Parenteral Nutrition

Question 1

Types of PN

Answer 1

1) TPN- administered through central access/PICC for larger concentrations
2) PPN- administered through central vein for short periods and small concentrations

Question 2

Types of Infusion

Answer 2

1) continuous

2) cyclic-monitor glucose

Question 3

discontinuing PN

Answer 3

gradually decrease flow rate while increasing oral intakke

Question 4

air emobolism symptoms

Answer 4

apprehension, chest pain, dyspnea, loud churning sound over pericardium, rapid and weak pulse, resp distress

Question 5

air emobolism intervention

Answer 5

clamp
left side lying with head lower than feet
notify
admin O2

Question 6

pneumothorax symptoms

Answer 6

absense of breath sounds on affected side
chest or shoulder pain
sudden shortness of breath
tachycardia
cyanosis

Question 7

pneumothorax intervention

Answer 7

may need chest tube.

make sure to confirm placement with chest xray

Question 8

changing of solution and tubes

Answer 8

change solution q12-24 hrs
changes tubing q24hrs
changes dressing q48hrs