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INCO 2 > TPN > Flashcards

TPN Flashcards

1
Q

Other name

A

Intravenous HyperAlimentation

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2
Q

Preferred route
Alternative route

A

Subclavian vein -> superior vena cava
Internal jugular vein

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3
Q

Position during insertion

A

Supine
Low head pos: trendelenburg

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4
Q

Local anesthesia used before TPN insertion

A

Lidocaine(procaine)

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5
Q

How many hours to cool down TPN before giving if from the ref and why should not be given Cold

A

2-3 hours
Prevent chills and fever
Should be given at room temp

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6
Q

Solutions used to mix TPN sol

A

Hypertonic solution

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7
Q

Monitor ff during tpn

A

Urine
Blood glucose level
Acetone
Specific gravity

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8
Q

Expected weight gain

A

.5 kg daily

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9
Q

If indwelling catheter is used (potential infx) what is the recommended site change is done

A

Every 4 weeks

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10
Q

What type of catheter is used for short term TPN

A

Triple lumen subclavian catheter

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11
Q

What type of catheter is used for short term TPN

A

Triple lumen subclavian catheter

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12
Q

3 port entry of TLSC catheter

A

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

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13
Q

Desired hour for continuous, uniform infusion of TPN

A

24 hours

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14
Q

Pt should be weighed ______ at same time, same condition

A

3 times a week

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15
Q

Dressing change aseptically every

A

3 times a week

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16
Q

Most common infectious organism

A

Candida albicans

17
Q

Position during dressing change

A

Low- fowlers

18
Q

Type of gloves and solutions used in cleansing during the dressing change

A

Sterile gloves
Acetone followed by tincture of iodine or thimerosal using sponge holder

19
Q

Main line intravenous tubing and filter change

A

Every 24 hours

20
Q

This is recommended for TPN

A

Infusion pump

21
Q

What type of solution used if IV runs out or interrupted

A

D10 water until next TPN bag used available

22
Q

Complication when there is rapid infusion of TPN

A

HyperOsmolar diuresis

23
Q

Symptoms of rapid hypertonic fluid intake (HNFCL)

A

Headache
Nausea
Fever
Chills
Lethargy

24
Q

I&O should be recorded every ? With rationale

A

8 hours so fluid imbalance can be readily detected

25
Q

Diet after TPN

A

Low fat, fiber
High protein

INCO 2 (6 decks)

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