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15 Cards in this Set

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Who would need parenteral Nurtition
Pts with insufficient intake- pancreatitis; pts unable to ingest food-paralyic ileus; pts who need sustained pre/post nutritional suppport-Post bowel resection
Goals for TPN
Improve nutritional status & wt gain
Routes of parenteral nutrition therapy
PPN- peripheral; CPN-centeral
Normally use the PPN route no longer than ______ days because of risk of ______.
5; phlebitis
Advantages of PPN
Doesnt require centeral line; Lower dextrose concentration so less associated with hyperglycemia eg, D5W used
Disadvantages of PPN
Perpheral vein thrombo phlebitis; fluid overload eg listen to lung sounds, wt, edema.
Change PPN site within ___ to ___ hrs
48;72
Indicated for longer use
CPN
Some ingredients may not be given the ___ route
PPN
You should monitor which labs during parenteral nutrition
LFT & BUN/Creatinine
Monitor the pts ___ q6hrs
BBG; Sliding scale insulin may be indicated
When lipids are given there will be a ______ device added as well
filtering
When providing fat monitor _____ panel
lipid
Complications of parenteral nutrition
infection, hyper/hypoglycemia, hyperlipidemia, elevation of BUN, overhydration, acid-base imbalance electrolyte
Can meds be added with PPN, CPN
yes eg, heparin, insulin, protonix