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21 Cards in this Set
- Front
- Back
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What can you add to tpn?
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insulin and heparin
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where can you administer lipid solutions?
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peripheral veins
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what are lipid solutions for?
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correct fatty acid deficiency
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what should you assess client for before administering lipid solutions?
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allergies to eggs
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what type of tubing for lipid solutions?
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vented
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How fast do you administer lipid solutions initially?
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1.0 ml/min -- for 30 minutes -- then adjust flow
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what type of tubing for tpn and ppn?
what if lipids are added? |
tubing with a 0.22 micron filter to remove crystals.
if lipids are added it needs a 1.2 micron filter or larger |
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Why do you need an x-ray after cather placement for tpn feedings?
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if it's in the wrong place -- client can get pneumothorax
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What precautions do you follow for tubing and cap changes?
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client in head down position with head turned opposite direction of insertion site
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What do you do if air embolism is suspected?
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put patient in left-side lying -- with head lower than feet -- notify doctor
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How often do you change tpn tubing?
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every 24 hours
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how often do you change tpn solutio
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every 12 to 24 hours
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Can meds and blood be given through a tpn line?
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NO
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How are tpn solutions stored?
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refrigeration -- used within 24 hours from time prepared
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how long before use do you remove tpn solution from refrigerator?
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1/2 to 1 hours before use
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How much weight gain is acceptable on tpn in one week
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not more than 3 pounds in one week
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How often do you check glucose levels in blood while on tpn?
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6-8 hours
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What if there are fat globules at top of fat emulsion bag?
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throw it out -- can't hang
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When patient starts regular food is tpn stopped?
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No -- gradually decreased
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what is client asked to do during tubing changes?
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valsalva maneuver
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If TPN isn't ready -- what should you hang?
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10% dextrose in water
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