Question

1. Describe the purpose of total parenteral nutrition (TPN). Which patients may benefit from the use of TPN? Describe the nursing measures for the initiation of TPN.
2. The patient receiving TPN therapy is at risk for complications from the infusion. What complications should the nurse anticipate? What signs/symptoms will help the nurse to identify the development of a complication? What are the nursing actions will be implemented if a complication develops?
3. Patients with central line catheters (CLCs) are at risk for Catheter-Related Bloodstream Infection (CRBSI). List the nursing interventions used to prevent CRBSI.
4. Describe the guidelines for CLC dressing changes. What are the guidelines for flushing the CLC? Include routine and medication administration. Identify the nursing measures for removing a CLC or Peripherally Inserted Central Catheter (PICC).

Answer 1

The purpose of TPN is to provide nutrients which are necessary for the body in the form of fluids by using intravenous method rather than the method of gastrointestinal tract.It is used for the people who are not able to recieve foods through mouth.

2)Patients with bowel diseases,sepsis,AIDS and sick or premature babies are mostly benefited by TPN.

3)TPN is administered by using PICC line into vein.It is placed at hand,scalp and umbilical vein is used.

4)TPN using may result in abnormal blood sugar levels,fats and electrolytes.Sepsis infection can be resulted from infection.Clots can be formed when line move out of place.

5)Signs and Symptoms

Infection,clots, hyperglycemia, hypoglycemia and dehydration,electrolyte imbalance.

6)Nurse should observe the place where TPN is attached so they can know of infection is developing and place should be kept clean and medication is administered if complications are seen.