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Week 1: Total Parenteral Nutrition Complete Exam Questions And Answers Graded A+. $13.49   Add to cart

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

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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 ...

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  • September 21, 2024
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  • TPN
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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.

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