100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Week 1: Total Parenteral Nutrition Complete Exam Questions And Answers Graded A+. $13.49   Add to cart

Exam (elaborations)

Week 1: Total Parenteral Nutrition Complete Exam Questions And Answers Graded A+.

 0 view  0 purchase
  • Course
  • TPN
  • Institution
  • TPN

What is TPN and what is its function? - correct answer Total Parenteral Nutrition TPN provides for the total nutritional needs of infants or children when feeding by the GI tract is impossible, inadequate, or hazardous. TPN therapy involves IV infusion of ...

[Show more]

Preview 2 out of 9  pages

  • September 21, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TPN
  • TPN
avatar-seller
RealGrades
Week 1: Total Parenteral Nutrition

What is TPN and what is its function? - correct answer Total Parenteral Nutrition



TPN provides for the total nutritional needs of infants or children when feeding by the GI tract is
impossible, inadequate, or hazardous.



TPN therapy involves IV infusion of highly concentrated solutions of protein, glucose, and other
nutrients.



What are the components of TPN solution? - correct answer Amino acids.

Glucose.

Lipids.

Electrolytes.

Vitamins.

Trace elements (chemical element required only in minute amounts by living organisms for normal
growth).

Water.



Indications for PN - correct answer - Small bowel resection.

- GI bleed or small bowel surgery.

- Paralytic ileus (obstruction of the intestine due to paralysis of the intestinal muscles).

- Intestinal obstruction.

- Trauma to abdomen, head or neck.

- Severe malabsorption.

- Intolerance to tube feeding.

- CT, RT, bone marrow transplant.

- Catabolic patients (breaking down or losing overall mass, both fat and muscle) with non-functioning GI
tract.

, - IBD.

- Pancreatitis.

- Preoperative bowel rest.



What needs to be monitored for patients recieving PN? - correct answer - Fluid
intake, urine and GI output q8h.

- VS q4h.

- Weight 3x weekly.



Initial and repeated weekly:

- Complete metabolic panel with sodium, potassium, chloride, carbon dioxide, glucose, calcium,
phosphate, magnesium, triglycerides, transaminases, liver function.

- Complete blood count (CBC). - Serum proteins, often including albumin, transferrin, C-reactive protein,
and/or pre-albumin.



Daily until stable:

- Electrolyte panel daily until stable, then weekly.

- Glucose every 6 hours until within normal limits for 48 hours, then daily.

- Glucose in preparation for cyclic home parenteral nutrition (PN); monitor 2 hours after PN begins and 2
hours after PN ends, adjust insulin per orders.



Monthly or biannually:

- Trace elements.

- Selected vitamins for long term home PN patients.



What vessels are used for TPN? - correct answer TPN admin requires infusion into
large vessels able to handle the sufficient volumes, irritating nature of the concentrations, and
turbulence - The superior vena cava and innominate or intrathoracic subclavian veins approached by
way of the external or internal jugular veins.



The highly irritating nature of the concentrated glucose precludes the use of peripheral veins in most
instances.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller RealGrades. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72841 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart