TPN Flashcards
Other name
Intravenous HyperAlimentation
Preferred route
Alternative route
Subclavian vein -> superior vena cava
Internal jugular vein
Position during insertion
Supine
Low head pos: trendelenburg
Local anesthesia used before TPN insertion
Lidocaine(procaine)
How many hours to cool down TPN before giving if from the ref and why should not be given Cold
2-3 hours
Prevent chills and fever
Should be given at room temp
Solutions used to mix TPN sol
Hypertonic solution
Monitor ff during tpn
Urine
Blood glucose level
Acetone
Specific gravity
Expected weight gain
.5 kg daily
If indwelling catheter is used (potential infx) what is the recommended site change is done
Every 4 weeks
What type of catheter is used for short term TPN
Triple lumen subclavian catheter
What type of catheter is used for short term TPN
Triple lumen subclavian catheter
3 port entry of TLSC catheter
16 gauge distal lumen for infusion of blood and viscous blood
18 gauge middle lumen for TPN infusion
18 gauge for distal port for giving & drawing of blood
Desired hour for continuous, uniform infusion of TPN
24 hours
Pt should be weighed ______ at same time, same condition
3 times a week
Dressing change aseptically every
3 times a week
Most common infectious organism
Candida albicans
Position during dressing change
Low- fowlers
Type of gloves and solutions used in cleansing during the dressing change
Sterile gloves
Acetone followed by tincture of iodine or thimerosal using sponge holder
Main line intravenous tubing and filter change
Every 24 hours
This is recommended for TPN
Infusion pump
What type of solution used if IV runs out or interrupted
D10 water until next TPN bag used available
Complication when there is rapid infusion of TPN
HyperOsmolar diuresis
Symptoms of rapid hypertonic fluid intake (HNFCL)
Headache
Nausea
Fever
Chills
Lethargy
I&O should be recorded every ? With rationale
8 hours so fluid imbalance can be readily detected
