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