Knowledge
Nursing Assessments
TPN
Principles
Reactions
100

Normal range of platelets

150-400

100

Name 3 manifestations of anemia.

Weakness, fatigue, SOB, pale, cool

100

Ingredients in TPN.

Proteins, carbs, fats, lipids, sugar, vitamins and minerals 

or

 amino acids/dextrose and lipids

100

Maximum time duration blood can be left on unit before return to bloodbank/administration

30 minutes

100

Itching, flushing, urticaria (hives)?

Mild allergic reaction.

200
Name the four components of blood.

 Plasma, RBCs, WBCs, platelets

200

Name three parts of the respiratory assessment to assess for.

RR, SOB, cyanosis, labour of breathing

200

This solution is hung in the event the TPN is not ready.

D10W

200

Maximum time blood should not exceed infusion over.

4 hours.

200

Anxiety, hypotension, wheezing, cyanosis, tachycardia

Anaphylaxis Reaction

300

Name 3 critical lab values to monitor assessing effectiveness of PRBC transfusion.

Complete Blood Count (CBC); Red blood cells (RBC), Hemoglobin (Hgb), Hematocrit (HCT)

300

Name two parts of the cardiac assessment to monitor for.

Tachycardia, arrythmia, hypotension

300
Why are central veins the best choice?

Less risk of thrombophlebitis, vessel damage, larger lumens.

300

NPO for ___ days likely TPN will be initiated.

5 days

300

Chills, fever, flushing, tachycardia, tachypnea, hypotension

Febrile Hemolytic Reaction

400

Universal blood donor. 

O-

400
Key nursing intervention/assess when TPN is STOPPED

Glucose.

400
What causes refeeding syndrome?

Fatal shifts in fluids and electrolytes that occur in malnourished patients receiving artificial refeeding.

400
What MUST be tested and performed prior to a blood transfusion (*hint: 72 hrs).

Blood group/type/cross match.

400

Rigors, fever, flushing, muscle aches

Febrile - Non-Hemolytic Transfusion Reaction

500

Mark needs a transfusion STAT. His blood group is AB+. What blood groups can he accept? 

  • AB +/- donors
  • O +/- donors
  • A +/-  donors
  • B +/-  donors
500

5 priority assessments for the patient on TPN.

Oral care

Vital signs

Weights

Bloodwork - LFTs, electrolytes, glucose

CVAD/Administation line

500

What is the purpose of the special filter in the TPN tubing?


To filter and reduce exposure to particulate matter.

500

Why is Fresh Frozen Plasma frozen?

To preserve factor V and VIII, refrigerated to ensure chemical components stay intact.

500

In febrile-hemolytic reactions, what occurs specifically. Brief and best answer wins.

Rapid destruction of donor RBCs by host antibodies (IgG, IgM). Usually d/t ABO blood group incompatibility.

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