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Cscc Med/Surg: Master Set For Final Exam Review Questions And Answers With Verified Solutions Already Passed!!! $16.99   Add to cart
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Cscc Med/Surg: Master Set For Final Exam Review Questions And Answers With Verified Solutions Already Passed!!!
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Cscc Med/Surg: Master Set For Final Exam Review Questions And Answers With Verified Solutions Already Passed!!!

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  • October 19, 2024
  • 123
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • composition of ppn
  • cscc medsurg master set for final exam review qu
  • peripheral parenteral nutrition
  • when to discard lipid emulsions

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  • CSCC
  • CSCC

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Cscc Med/Surg: Master Set For Final
Exam Review Questions And Answers
With Verified Solutions Already
Passed!!!
peripheral parenteral nutrition - ANSWER✔✔PPN
-can be delivered via peripheral IV


composition of PPN - ANSWER✔✔lipids (fat emulsion)
-made from safflower, soy, eggs (allergies!!)


who needs PPN? - ANSWER✔✔Pt who needs IV nutrition for a SHORT TIME


% of total calories than can be provided by PPN - ANSWER✔✔30%


rate of admin for lipid emulsions - ANSWER✔✔1ml/min
don't exceed 0.11g/kg/hr


when to discard lipid emulsions - ANSWER✔✔if there is:
-separation
-froth
-past exp date
-fat layer or globules are visible


are filters used for admin of lipid emulsions? - ANSWER✔✔they can be. check
agency policy

,nursing considerations for admin of lipid emulsions - ANSWER✔✔-infuse slowly
-don't leave pt for first 30 min and monitor for adverse reactions
-monitor lipid levels before and after


increased risks with admin of lipid emulsions - ANSWER✔✔phlebitis at IV site
fluid overload


assessment prior to admin of TPN or PPN - ANSWER✔✔-complete health Hx
-drug and allergy Hx
-diet Hx
-baseline ht. wt. and VS
-evaluate appropriate labs
-proper IV site (central line for TPN, PIV for PPN)


who needs TPN/PPN? - ANSWER✔✔Pt with:
-severe malnutrition
-decreased food intake for more than 5 days
-severe vomiting/diarrhea
-muscle wasting
-decreased tissue healing
-abnormal urea nitrogen excretion
-AIDS
-CA
-fistula

,-severe trauma
-sepsis
-GI tract out of commission (d/t disease process or surgery)


contents of TPN - ANSWER✔✔CHOs (dextrose)
fats
proteins
ADDED BY PHARMACY specific to Pt:
-vitamins and minerals
-electrolytes
-water


length of time to ween off of TPN - ANSWER✔✔6-48hrs


protocol to start a pt on TPN - ANSWER✔✔start slowly!
-40ml/hr on day 1
-80ml/hr on day 2
up to 120ml/hr


how often to check blood glucose levels in Pt on TPN - ANSWER✔✔q4-6hrs until
stable


cal requirements - ANSWER✔✔25-35cal/kg/day


possible complications of TPN therapy - ANSWER✔✔infection

, metabolic problems
catheter related issues


reason TPN increases risk for infection - ANSWER✔✔make up of TPN (glucose,
proteins, etc..) are great reservoirs for bacteria


causes of TPN related infections - ANSWER✔✔-poor aseptic technique
-solution or catheter contamination


monitor for S&Sx of infection! - ANSWER✔✔LOCAL:
-edema, warmth, redness, tenderness, drainage


SYSTEMIC:
-fever, chills, malaise


refeeding syndrome - ANSWER✔✔fluid retention and electrolyte imbalance


S&Sx of pneumothorax - ANSWER✔✔-chest or shoulder pain
-SOB
-cyanosis
-tachypnea
-dyspnea
-tachycardia
-decreased or absent breath sounds

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