Basics
TPN vs PPN
Lipids
Complications
Nursing Care
100

PN is typically started ___–___ days after patient cannot tolerate enteral feeding

What is 5-7 days 

100

•Which type of PN must be given through a central line?

what is TPN 

100

•Lipids are usually given with PN or alone?

what is with PN

100

•Sudden chest pain and SOB during PN may indicate what complication?

What is air embolism 
100

•What should be monitored daily in PN patients?

what is weight, I&O, blood glucose

200

•PN is used when patients cannot tolerate what type of feeding?

what is enteral or oral feeding 

200

•Which type of PN can be given peripherally?

what is PPN 

200

•What do lipids provide in PN?

what is essential fatty acids and calories 

200

•Redness, fever, chills at the catheter site indicates?

what is infection 

200

•How often should tubing and solution be changed?

what is every 24hrs 

300

•What does PN provide besides calories?

what are fluids, electrolytes, vitamins, minerals 

300

•PPN is used when patient is eating some but not enough. True/False?

what is true 

300

•What color is lipid solution?

what is white, milky 

300

•PN can cause what metabolic complication due to high dextrose?

what is hyperglycemia 

300

•Why is aseptic technique important in PN care?

What is prevent infection 

400

•What route is PN administered?

What is Intravenous 

400

•What is the risk of giving TPN peripherally?

what is vein irritation, infiltration 

400

•True/False: Lipids can be given through any IV line alone.

what is false 

400

•If catheter is displaced or kinked, what occurs?

what is line occulsion or no flow 

400

•What should you do if PN runs out before next bag is available?

what is hang 10% dextrose 
500

•True/False: PN is the first choice for nutrition support.

what is False- enteral is preferred 

500

Which type has higher concentration of dextrose, TPN or PPN?

what is TPN 

500

•Lipids are added to PN if needed. True/False?

what is true 

500

•Insertion of central line can cause what lung complication?

what is pneumothorax 

500

•What labs are important to monitor?

What is electrolytes, glucose, liver function