TPN Reasons
What is the TPN component that provides energy?
pg 108
Carbohydrates
What are the names of the Electrolytes? pg 109
Potassium Phosphate, Chloride and Acetate, Calcium Gluconate or Chloride, Sodium Chloride or Acetate, and Magnesium Sulfate
What is hypoglycemia? vocab
Abnormally low levels of glucose in the blood
A TPN must be discarded after what amount of time?
pg 113
24 hours
What is Liposyn? pg 108
A fat source used in parenteral solutions
What are the goals of Parenteral Nutrition? pg 107
To replace nutritional deficits, promote wound healing, increase weight, and prevent protein or caloric malnutrition
How much potassium is needed for every 1000 calories of TPN? pg 109
30 to 40 mEq
10% Dextrose is the highest concentration that should be given through... ? pg 108
The peripheral vein
What are the Base Solutions or macronutrients?
pg 108
Dextrose, Amino Acids, and Fats, and Sterile Water
What should parenteral nutrition be filtered with?
pg 113
A 0.2 micron filter
What are proteins necessary for (what do they promote)? pg 109
Replacement of cells, tissue growth, and cell repair
Which 2 electrolytes can precipitate if added closely together? pg 112
Potassium Phosphate, and Calcium Gluconate
What is Inflammation of the lining of the abdominal cavity? vocab
Peritonitis
What is the amount of time it takes to warm a TPN to room temperature? pg 113
1 hour
What are the components of a 3 in 1 solution? pg 112
Dextrose, Liposyn, Amino Acids
What are the indications or reasons for Parenteral Nutrition? pg 107/108
Chronic weight loss, massive bowel surgery (pancreatitis/peritonitis), severe burns, hypermetabolic states, and patients who are malnourished
Which Trace Element aids in wound healing? pg 110
Zinc
What are abnormally high levels of glucose in the blood called?
Hyperglycemia
Which IV fluid should be administered if a TPN is stopped abruptly? pg 113
10% Dextrose (D10W)
How are the amounts of each ingredient measured when using an automated compounder? pg 112
in g/mL
What are hypermetabolic states? pg 108
These conditions require additional energy for the body to heal
What is the common range for nutritional requirements in calories per day in a TPN? pg 107
2500 - 3000 calories
Patients with a decrease in renal function require what? pg 109
Decreased amounts of potassium
What are the advantages of using an automated compounding machine? pg 112
Faster than gravity method, less touch contamination, and better accuracy than gravity method,are the advantages of using this
Where would the automated compounding machine be kept? pg 112
Directly inside the LAFW