PN
What does TPN stand for?
Total Parenteral Nutrition
For lipid or 3-in-1 PN what size filter tubing should be used?
1.2 micron
PN Solution infuses over how many hours?
10-12 hours if lipids included or 2-in1 can be over 24 hours and then lipids 10-12 hours
What is the milky white solution?
Lipids
Is TPN solution hypotonic or hypertonic?
Hypertonic
For dextrose/amino acids PN, what size filter should be used?
0.22 micron
What is the preferred method of delivery for TPN?
CVAD/PICC
What color is PN solution typically?
Clear yellow
What would be included for documentation of a TPN assessment?
- Condition of the CVAD/PICC
- Intake and output
-Blood glucose levels
-Weights
-Signs of infection, occlusion, fluid retention, or infiltration
If there is no Issues with the GI tract what method of feeding would be preferred over TPN?
Enteral feeding
When lipids are infusing how often should vitals be monitored for the first 30 minutes?
Every 10 minutes
When lipid are infusing, how often should lab values be obtained?
Daily, and serum lipids measured 4 hours after lipids are discontinued.
How often should blood glucose be monitored upon initiation?
Q6h for first 48 hours until WDL
How often should daily weights be taken for a pt on TPN?
Minimum of 3x a week
What would an excess of 1lb gained per day be indicative of?
Fluid retention