Total Parenteral Nutrition Flashcards
Who needs TPN?
The person who has a GI tract that’s not functions properly
For real serious problems
What labs to monitor?
Blood glucose levels
TPN mostly made of dextrose
Dextrose has strong amount of sugar in it causing to experience problems with hyperglycemia
How often does the nurse change the tubing?
Everyday(24 hrs) because the sugar is so high in the TPN that it is cesspool for bacteria ! Especially if it’s it sitting out and room temperature
What electrolyte imbalances can TPN cause?
Hyperglycemia
Hyperkalemia
Hypeemagnesemia
Hyperphosphatemia
What is your emergency substitute for TPN?
10% Dextrose
How do you stop TPN?
You always place TPN on what ___?
U don’t stop it abruptly u gradually stop TPN
Always place on a pump never let it run till gravity
What are the nutrients going through?
Veins
A clients nutrients are supplied through?
Veins
If TPN is suddenly increase, client is at risk for__ ?
Hyperglycemia due to the gradual increase rate of infusion
What medications can be hung with TPN tubing?
None; never do this
Why must tubing be changed daily?
TPN increases risk for bacteria forming tubing
To decrease risk for sepsis
Elevation in temperature is a sign of?
Infection
Why must TPN be gradually decrease?
To prevent rebound hypoglycemia
If TPN is unavailable, which IV fluid can be hung as a temporary substitution?
10% dextrose water
