TPN

Question 1

TPN

Answer 1

Total Parenteral Nutrition

Question 2

Tonocity of TPN solution

Answer 2

Hypertonic

Question 3

TPN may be given via

Answer 3

PICC line or Tunneled catheter

Question 4

TPN is prepared

Answer 4

Daily

Question 5

TPN dressing change is done with __________ asepsis

Answer 5

Surgical

Question 6

Lab value to check ever 4-6 hours during TPN admin:

Answer 6

Blood Glucose

Question 7

A new TPN bag is hung every

Answer 7

24 hours

Question 8

T/F: A new filter is hung with each bag of TPN

Answer 8

True

Question 9

Fat Emulsion Parenteral Nutrition

Answer 9

Isotonic, may be given through peripheral or central vein; good for DM patients; Additives should not be put into fat emulsion solution; Examine bottle for: layers, fat globules, froth accumulation-if present: send back to pharmacy; may contain egg (allergy); monitor VS every 10 mins for 1st 30 mins of admin; serum lipids are checked 4 hours after discontinuing the infusion

Question 10

Complications of Parenteral Nutrition

Answer 10

• Air Embolism (Air entry occurs on IV tubing Changes; Tubing disconnection)
• Hyperglycemia (Infusion is too fast; Not enough insulin)
• Hypoglycemia (PN abruptly discontinued; Too much insulin)
• Hypervolemia (Excessive fluid given or too fast; Renal dysfunction; Heart Failure; Hepatic Failure)
• Infection (Poor aseptic tech; Catheter contamination; Contamination of solution)
• Pneumothorax (Inexact catheter placement)