TPN Flashcards
TPN prevents catabolism of ___ from muscles and ____ from subcutaneous
Protein ,Fats
Composition of TPN is. % of amino acids, % dextrose vitamins minerals, trace elements and electrolytes and water
3-15, 25%
added to TPN to minimize hyperglycemia and ____ to prevent clotting
Insulin, Heparin
TPN w/ amino acids and dextrose in 2-3L is infused over __Hr
24
intermittent infusion of % fats is givrn - times weekly
10, 1-3
this contains amino acids dextrose and lipids
TNA
peripheral line is used for nutrient ______ and often used up to __ days with a maximal dextrose cont of ___ % to prevent irritation of blood vessels
supplementation, 7 , 10
__G middle lumen used in Central line site and this site is used only for ___ weeks or less
18, 4
this catheter is inserted into the basilic or cephalic vein to svcava
PICC
TPN is indicated for patients who cannot tolerate ____ nutrition because of give 3
enteral, paralytic ileus, intestinal obstruction, acute pancreatitis, IBD, Gastrointestinal fistulas, severe diarrhea, persistent vomiting, Malabsorption
TPN is indicated for pt who has hypermetabolic state such as give 2
Npo for >7 days, acute renal failure, multiple fracture; tumor in GI tract
Keep TPN solution refrigerated until ___ to __ minutes before use to retard bacterial growth
30-60
Change TPN bag and tubing every __hrs
24
Filter use in Iv tubing if TPN is without lipids
0.22 micron filter
Filter use in Iv tubing if tpn is with lipids
1.2 micron filter
TPN rate is often started low at ___ ml /hr and i creased to ___ ml/hr as pt tolerates
50 - 125
Lipid infusion rate begins at a rate of __mL/hr
1
post lipid infusion, monitor vs q ___ for first hr and measure serum lipid __ hrs post infusion
10 mins, 4
if new TPN is not available after one has infused, hang temporarily a _____ at prescribe rate to prevent ____ until availability of another TPN
10% dextrose in water solution, hypoglycemia
if scheduled infusion is not followed, it may be restarted to a rate of ___% higher than the proginal rate to restore lost nutrients or catch up
10
give three evaluation for TPN
- weight gain
- F&E normal
- TPN complication free
what is instructed to PT to prevent air embolism during tubing and cap changes
Valsalva maneuver
Monitor blood glucose every ___ hrs or administer ___ insulin to keep glucose less than 200
6 , regular
hang 10% dextrose in water for _ to _ hrs post TPN and monitor blood glucose __ hr after termination of TPN
1-2 , 1
