Parenteral Nutrition
What are parenteral preparations?
The name of the precautions used during handling and administration of blood products.
Concurrent use of multiple medications, and is considered a geriatric syndrome because it is a common health condition of older adults that is not a disease.
What is Polypharmacy?
Organic compounds composed of carbon, hydrogen, and oxygen?
What are carbohydrates?
Patient, Drug, Dosage, Route, Timing, and Documentation are part of this
More rapid effects and larger volumes of fluids can be administered.
What are the advantages of parenteral administration?
Chills, fever, low back pain, tachycardia, tachypnea, and hypotension are symptoms of this type of blood transfusion reaction.
What is acute hemolytic reaction?
Chronically ill and the elderly
Who is at risk for polypharmacy?
The substance in plant foods that are indigestible (pectin, gum, cellulose, and oligosaccharides
What is fiber?
The continual process of patient care which leads to changes in nursing intervention(s) to provide better and safe care.
What is evaluation?
Suspicion of this is why a nurse places a patient on the left side, with the head lower than the feet after TPN infusing has disconnected the tubing from the central line catheter.
What is an air embolism?
Used to treat bleeding related to coagulation factor deficiencies.
What is fresh frozen plasma (FFP) or plasma?
Complete the medication reconciliation process; identify the adverse medication reactions and medication interactions and recognize the pharmacokinetic changes that puts older adult clients at risk for these outcomes.
What is the nurse's role in preventing polypharmacy?
Labeled complete (high quality) or incomplete (low quality), based on amino acid composition
What is protein?
Liver and Kidneys
What are organs to check make sure have good function before administering medications?
The solution hung in case a TPN bag is empty and waiting on the new TPN to arrive.
What is 10% Dextrose in water?
Mild reactions such as mild hypotension, flushing, uticaria, fever and nausea will generally disappear when the infusion rate is slowed or this fluid is ceased.
What is albumin?
A guide showing “what drugs to avoid, or think twice about,” but is not a “blacklist" for older adults.
What is the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, also called the Beers List?
Divided into three categories: Triglycerides, phospholipids, and sterols
What are lipids?
A statement of the patient's status from a nursing perspective.
What is a nursing diagnosis?
The nurse removes the solution from an IV access because this occurred.
What is IV extravasation?
Condition evidenced by bradycardia, hypotension, irregular heartbeat, paresthesia of extremities, muscle twitching.
What is hyperkalemia due to lysis of blood cells?
Prescribing medications to treat the side effects of another drug can quickly lead to this.
What is a “prescribing cascade”?
Fat-soluble vitamin which the deficiency is rare but results in anemia and can cause edema and skin
lesions in infants
Abnormal body movements that include involuntary fine motor tremors, rigidity, uncontrolled restlessness that can occur within hours to months.
What is Extrapyramidal Symptoms?