TPN Writing Flashcards
1
Q
Before calculating and writing a TPN order, one should first _____
A
Verify indication for TPN
- confirm central venous access line for TPN
2
Q
Determining BMIW for TPN
A
<30 use ABW
>30 use IBW
3
Q
Fluid needs range
A
30-40 mL/kg/day
4
Q
Disease states that can affect fluid
A
Heart failure
Renal failure
5
Q
Usual protein needs TPN
A
1.0 - 1.5 g/kg/day
6
Q
Dialysis protein needs TPN
A
1.2 - 2.0 g/kg/day
7
Q
CCRT protein needs TPN
A
1.7 - 2.5 g/kg/day
8
Q
Usual lipid needs for TPN
A
0.5 - 1 g/kg/day (max 2.0)
25-35% of total calories
9
Q
250mL of 20% lipid is ____ g/day
A
50g/day
10
Q
Dextrose monohydrate kcal/g
A
3.4 kcal/g
11
Q
Usual range dextrose of TPN
A
- 3.0 - 5.0 g/kg/day
12
Q
When would you consider less dextrose?
A
Refeeding risk
Poorly controlled hyperglycemia
13
Q
Usual Na in TPN
A
1-2 mEq/kg/day
14
Q
Usual K in TPN
A
1-2 mEq/kg/day
15
Q
Usual P for TPN
A
20-40 mmol/day
