TPN/TNA/PN

Question 1

How is TNA stored and administered? (warm?, cold?)

Answer 1

Keep refrigerated but warm for administration.

Let it sit out for a few minutes prior to hanging.

Question 2

What type of line is needed for TPN?

Answer 2

Central line b/c TPN is packed with particles.

Question 3

Is a filter needed for TPN?

Answer 3

Yes

Question 4

Should there be a dedicated line for TPN?

Answer 4

Yes, nothing else should go through this line.

Question 5

How should TPN be discontinued? and why?

Answer 5

Gradually; to avoid hypoglycemia

Question 6

Do you need daily weights with TPN?

Answer 6

Yes

Question 7

Is insulin needed with TPN?

Answer 7

Potentially

Question 8

How often should blood glucose be monitored with TPN?

Answer 8

Every 6 hours

Question 9

What is urine checked for when getting TPN?

Answer 9

Glucose and ketones

Question 10

Is the TPN mixture mixed ahead or adjusted daily?

Answer 10

Adjusted daily by HCP according to electrolytes.

Question 11

How long can tubing for TPN be hung?

Answer 11

24 hours

Question 12

How often is TPN tubing changed?

Answer 12

With every new bag

Question 13

Can you cover the TPN bag to prevent chemical breakdown? Cover with what?

Answer 13

Yes, cover with dark bag to prevent chemical breakdown.

Question 14

Does TPN need to be on a pump?

Answer 14

Yes

Question 15

What to teach for home TNA? Why?

Answer 15

Emphasize hand washing

Most frequent complication is infection.

Question 16

What is the most frequent complication of TPN?

Answer 16

Infection

Question 17

Other names for Total Nutrient Admixture (TNA)

Answer 17

• Total Parenteral Nutrition (TPN)

- Parenteral Nutrition (PN)