Chapter
Name a fat/energy source used in parenteral solutions pg 108
Liposyn
What is the amount of time a TPN must be warmed to room temperature? pg 113
Approximately 1 hour
What are advantages of using an automated compounding machine? pg 112
Faster than the gravity method
Less touch contamination
Better accuracy
A TPN must be discarded after how long? pg 113
24 hours
An abnormally low level of glucose in the blood is known as... vocab
Hypoglycemia
Make sure you also know the opposite (hyperglycemia)
What do Carbohydrates provide? pg 108
Energy
This is often added to adjust the volume of parenteral solutions pg 108
Sterile Water
Which IV bag should be administered at the same rate as the TPN, if the TPN is stopped abruptly? pg 113
D10W
What are the goals of parenteral nutrition? pg 107
Promote wound healing
Prevent malnutrition
Replace nutritional deficits
Increase weight or diminish the rate of weight loss
What are the Base Solutions of a TPN? pg 108-109
Dextrose
Amino Acids
Liposyn
Sterile Water
What are all parenteral nutrition solutions filtered with? pg 113
A 0.2 micron filter
What is considered to be the 3 in 1 solution? pg 108
Liposyn
Amino Acids
Dextrose
What does 500 mL of 20% Liposyn provide? pg 109
1000 calories per day
What is Inflammation of the lining of the abdominal cavity - vocab
Peritonitis
What are indications or conditions that may require parenteral nutrition? pg 107
Massive bowel surgery
Pancreatitis Coma
Malnourished patients
Severe burns Trauma
What are the Macronutrients? pg 108
Carbohydrates
Proteins
Fats
What is the amount of potassium needed for each 1000 calories provided parenterally? pg 109
Approximately 30 to 40 mEq?
How are the ingredients measured when using an automated compounder? pg 112
g/mL
What are proteins necessary for? pg 109
To promote the replacement of cells
Tissue growth
Tissue repair
What is the concentration of Dextrose that can be given in a Peripheral TPN? pg 108
10%
T/F - 3000mL of Dextrose can supply a patient with 1500 calories. pg 108
False - it will provide the patient with 1000 calories
What are potassium phosphate, calcium gluconate, magnesium sulfate, and potassium chloride considered to be? pg 109
Electrolytes
T/F A Peripheral line can have a final Dextrose concentration of 50%... pg 108
False it can only have up to 10%
Which trace element aids in wound healing? pg 110
Zinc
T/F - Automated compounding machines are kept in the ante area. pg 112
False - They are kept directly inside the laminar airflow workbench (LAFW)