Total Parenteral Nutrition Flashcards
A client’s nutrients are supplied through _____
Veins
Why would a client need TPN?
If GI tract wasn’t working properly
What needs to be monitored closely?
Blood sugars; due to dextrose in TPN
If TPN is suddenly increased, client is at risk for?
Hyperglycemia due to gradual increased rate if infusion
What other electrolyte imbalance can TPN cause?
Hyperkalemia, hypermagnesemia, hyper-phosphatemia
How often do you change the TPN bag?
Every 24 hours
What medications can be hung with TPN tubing?
None; never do this
Why must tubing be changed daily?
To decrease risk for sepsis
TPN increase risk for bacteria to form in tubing
Elevation inn temperature is a sign of?
Infection
Why must TPN be gradually decreased?
To prevent rebound hypoglycemia
If TPN is unavailable, which IV fluid can be hung as a temporary substitution?
10% dextrose water