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10 Cards in this Set
- Front
- Back
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Define tpn
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Nutritional therapy that bypasss the gi tract
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Indications for tpn
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Inability to ingest or absorb sufficient nutrients through the the gi due to various problems
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List of indications for for tpn
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Gi obstruction
Burns Trauma Cardiac disorders Nausea and vomiting Anorexia Malnutrition |
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Rsks for malnutrition
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Underweight
Overweight NPO for more than 5 days Albumin <3.5 |
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Routes of admin for tpn
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Peripheral parrenteral nutrition
Central perenteral nutrition |
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PPN
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Delay in central venous cath place
Nutritional status marginal, use lower dextrose % high risk infiltrate |
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CPN
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Subclavian
Long term (>3wks) Preferred to admin through large high flow vessel Infuse through distal port |
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Nursing responsibilitis for tpn
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Check order
Gather equiptment Check id Obtain baseline Expiration date Prime tubing Invert filter Dislodge air Flush line Start at 50--ml/HR x 6hr then advance 25ml/HR q6hr Record time started If tna only hang 24hr Bgl q6. If normal after 48 dc Strict io Weigh daily Vs q4 Change tubing/filter q24 Fluid overload Chf Do not interrupt for piggyback Inspect for fat molecules Trace with fingers Monitor labs |
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Reportable conditions
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Abnormal labs
Temp >102 bgl <80 or >140 fluid overload Allergic reaction Cath site problems |
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WHAT MUST BE DONE AFTER THE TPN INFUSION IS COMPLETED or IF THE INFUSION MUST BE STOPPED FOR ANY REASON
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3. If dextrose content of solution is <100 grams per liter, then infuse 5% Dextrose IF ORDERED for 24 hours
4. If dextrose content of solution is >100 grams per liter, then infuse 10% Dextrose IF ORDERED for 24 hours |
