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Terms in this set (18)
what nutritional components are in TPN?
Lipids, carbs, dextrose, electrolytes, vitamins, minerals, proteins
What medications can be added to PN solution?
insulin and heparin
Can you administer IV medication through a PN IV line or port?
NO - should be given in a seperate line
highly concentrated hypertonic solution with vitamins, nutrients, fluids, calories added - for long term use
given through isotonic solutions, through peripheral vein - short time
If a bag of TPN runs out what should be infused until another bag becomes available?
what type of filter is required when administering PN solution?
how often should the TPN bag and tubing be replace?
every 24 hours
what needs to be monitored when a pt is receiving TPN?
BG levels, weight, I & O, infection signs
1. A nurse is planning care for a client who has a new prescription for peripheral parenteral nutrition (PPN). Which of the following actions should the nurse include in the plan of care? (Select all that apply)
a. Examine trends in weight loss
b. Review prealbumin finding
c. Administer an IV solution of 20% dextrose
d. Add a micron filter to IV tubing
e. Use an IV infusion pump
- Examine trends in weight loss
- review prealbumin finding
- add a micron filter to IV tubing
- use an IV infusion pump
A charge nurse Is providing information about fat emulsion added to TPN to a group of nurses. Which of the following statements by the charge nurse are appropriate?
a. "concentration of lipid emulsion can be up to 30%"
b. "adding lipid emulsion gives the solution a milky appearance"
c. "check for allergies to soybean soil"
d. "lipid emulsion prevents fatty acid deficiency"
e. "lipids provide calories by increasing the osmolarity of the PN solution"
- "concentration of lipid emulsion can be up to 30%"
- "adding lipid emulsion gives the solution a milky appearance"
- "check for allergies to soybean soil"
- "lipid emulsion prevents fatty acid deficiency"
A charge nurse is teaching a group of nurses about medication compatibility with TPN. Which of the following statements should the nurse make?
a. "use the Y-port on the TPN IV tubing to administer antibiotics"
b. "regular insulin may be added ot the TPN solution
c. "administer heparin through a port on the TPN tubing"
d. "administer vitamin K IV bolus via a Y-port on the TPN tubing"
"regular insulin may be added to the TPN solution"
A nurse is preparing to administer lipid emulsion and notes a layer of fat floating in the IV solution bag. Which of the following actions should the nurse take?
a. Shake the bag to mix the fat
b. Turn the bag upside down one time
c. Return the bag to pharmacy
d. Administer the bag of solution
return the bag to pharmacy
A nurse is caring for a client who is receiving TPN though a central line, but the net bag of solution is not available for administration at this time. Which of the following is an appropriate action by the nurse?
a. Administer 20% dextrose in water IV until the next bag is available
b. Slow the infusion rate of the current bag into the solution is available
c. Monitor for hyperglycemia
d. Monitor for hyperosmolar diuresis
administer 20% dextrose in water IV until the next bag is available
patients to receive lipids should not be allergic to what?
What medication reverses opioids?
what is the "lockout interval" with a PCA and why is it used?
time interval before the pump can provide the next dose
Which patient is at risk for a spontaneous pneumothorax?
a. A pt with an 18-year history of emphysema
b. A pt with a penetrating chest wound that's making a sucking sound
c. A pt in the intensive care unit receiving mechanical ventilation
d. An 18-year-old male, 6ft tall, 135 pounds, and is an everyday smoker
an 18-year-old male, 6 ft tall, 135lbs, and is an everyday smoker (tall thin males)
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