What doesn't kill you makes your stronger
The Price is Right
TPN Truths
Feeding Facts
Thanksgiving Trivia
100

This electrolyte abnormality in refeeding syndrome can cause hemolysis, rhabdomyolysis, and diaphragm weakness.

Hypophosphataemia   

100

The approximate retail cost of one bottle of Boost or Ensure.

What is $2-$3?

100

This type of vascular access is required for TPN because of its high osmolarity.

What is a central line?


100

The best initial step to confirm NG tube placement.

What is a KUB / X-ray?

100

This popular Thanksgiving dessert was unlikely served at the first Thanksgiving due to lack of ovens and sugar.

What is pumpkin pie?

200

This vitamin must be given before starting nutrition to prevent Wernicke’s.

What is thiamine (Vitamin B1)?

200

The average cost of a 33.8 oz bag of generic enteric tube feeds.

What is $10-$15?

200

These three macronutrient components make up the bulk of a TPN bag.

What are dextrose, amino acids, and lipids?

200

This is the most common serious complication of tube feeds in patients with impaired consciousness.

What is aspiration pneumonia?

200

This brand of canned cranberry sauce, recognizable by its ridges, has been sold since the 1940s.

What is Ocean Spray

300

This electrolyte must be monitored closely because low levels can worsen refractory hypokalemia and hypocalcemia.

 What is magnesium?

300

The average price per pound of a frozen turkey in the U.S. around Thanksgiving.

What is $1–$2 per pound?

300

The most common metabolic complication of TPN.

What is hyperglycemia?


300

In critically ill patients with high aspiration risk, this strategy—delivering nutrition slowly into the jejunum—reduces risk of gastric residual complications.

What is continuous post-pyloric (jejunal) feeding?

300

According to surveys, this is the most popular leftover Thanksgiving meal in the U.S.

What is a turkey sandwich?

400

U waves on ECG indicate this electrolyte abnormality.

What is hypokalemia?

400

This is the average cost of TPN a hospital daily per-diem will charge covering the solution, supplies, and nursing care.

What is $400?

400

Two major complications of long-term TPN use.

What are infection/sepsis, liver dysfunction, or cholestasis?

400

Crushing this type of oral medication for feeding tube administration can alter drug absorption or cause toxicity.

What are extended-release, enteric-coated, or sublingual formulations?

400

This U.S. state produces the most Thanksgiving turkeys each year.

What is Minnesota?


500

Tetany and perioral numbness could be caused by this electrolyte imbalance.

What is hypocalcemia?

500

This is the average cost for a 10-person Thanksgiving meal consisting of turkey, stuffing, rolls, peas, sweet potatoes, cranberry sauce, pumpkin pie, and whipped cream.

What is $55.18 total?

500

Abruptly discontinuing TPN may cause this dangerous complication.

What is hypoglycemia?

500

When a tube becomes completely occluded, these are the safe next steps before considering replacement.

What are enzyme-based declogging solutions or warm water flushes, never forceful syringing?


500

This NFL team traditionally hosts the “Turkey Day” home game every Thanksgiving.

What is the Detroit Lions? Go Lions!