part 8

Question 1

What is parenteral Nutrition?

Answer 1

nutrition via IV

highly concentrated and hypertonic

Question 2

What is TPN and where does it go?

Answer 2

total parenteral nutrition

• has to go into a central line
• highly concentrated and hypertonic

Question 3

What is PPN and how is it different from TPN?

Answer 3

peripheral parenteral nutrition (PPN)

-less concentrated and isotonic

Question 4

What component of TPN causes it to be costic to the veins?

Answer 4

dextrose

Question 5

What are some things we can do to prevent complications when giving parenteral nutrition?

Answer 5

• check glucose q4H because pt’s can become hyperglycemic/hypoglycemic
• watch labs/CBC for fluid, electrolyte, acid-base imbalances

Question 6

What are the goals of parenteral nutrition?

Answer 6

• meet caloric needs
• prevent protein/caloric malnutrition
• maintain/increase weight loss
• promote wound healing
• replace nutritional deficits

Question 7

What are some things to monitor when giving parenteral nutrition?

Answer 7

• use same catheter lumen for each feeding
• use electronic infusion device
• rate changes are incremental not drastic
• exp q4h
• monitor glucose
• aseptic technique
• change IV set q24h
• change dressing per protocol
• check connections
• daily weight and I&O
• assess serum protein and electrolytes