How is TPN given? - correct answer Centrally or peripherally (also called peripheral parenteral nutrition "PPN")
Lower rate (TPN) with peripheral is ok since the sugar concentration is low.
What consists of PN? - correct answer ...
Parenteral nutrition (PN) a.k.a. Total
Parenteral Nutrition (TPN)
How is TPN given? - correct answer Centrally or peripherally (also called peripheral
parenteral nutrition "PPN")
Lower rate (TPN) with peripheral is ok since the sugar concentration is low.
What consists of PN? - correct answer Protein, fat, and sugar (main 3 combinations)
Vitamins, electrolytes, and drugs (heparin, famotidine, or insulin) might be added.
Which route has a greater chance of phlebitis and why? - correct answer Peripheral
route (PPN) which is about 10% due to high sugar content.
When is central line used and why? - correct answer Used when PN has a dextrose
concentration of more than 10%.
Why do we take extra caution with dextrose concentration of more than 10%. - correct answer
Because high sugar content is a great medium for the growth of microorganism.
Also, infusion of lipids makes it even more desirable medium.
Therefore, take extra caution when attaching bag, tubing and central access device.
Infection is a big worry for pt. getting PN. What are some nursing intervention to avoid that? - correct
answer Check pt.'s blood sugar q. 8hrs.
Never abruptly stop PN. "Rebound Hypoglycemia."
PN must be tapered down before it is stopped.
As PN protocol, D10 must be available if PN stopped without tapering.
Change PN bag & lipid bag q. 24hrs.
Change tubings q. 72hrs.
What's the most common venous access device? - correct answer It's Peripheral
IntraVenous catheter (PIV).*
It can last for 72-96hrs.
Needle size range from 18-24 gauge for adults.
Used for recovery that last for < a week, short-term hydration, short-term antibiotics, or may be
receiving 2 units of blood.
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