Table of Contents
How do you care for a TPN patient?
IV Care: Total Parenteral Nutrition (TPN) Therapy
- Read the medicine sheet that comes with the TPN.
- Check the label on the TPN bag before starting an IV.
- Don’t use TPN with an expired date.
- Don’t use TPN if the bag is leaking.
- Don’t use TPN if it looks lumpy or oily.
- Don’t use TPN if anything is floating in it.
What precautions must be used when caring for a client with TPN?
Use strict aseptic technique with IV tubing, dressing changes, and TPN solution, and refrigerate solution until 30 min before using. (Infusion site is at high risk for development of infection.) Monitor blood glucose levels. Observe for signs of hyperglycemia or hypoglycemia and administer insulin as directed.
What should I monitor during TPN?
Weight, complete blood count, electrolytes, and blood urea nitrogen should be monitored often (eg, daily for inpatients). Plasma glucose should be monitored every 6 hours until patients and glucose levels become stable. Fluid intake and output should be monitored continuously.
What equipment is needed for TPN?
A sterile barrier. A TPN solution administration set. 1 or 2 (10 mL) syringes. An insulin syringe (if needed)
Do patients on TPN feel hungry?
You aren’t likely to feel hungry while you are having TPN. The hospital staff will do all that they can to keep the tube and port sterile. This helps prevent infections.
Can TPN run with normal saline?
TPN is not compatible with any other type of IV solution or medication and must be administered by itself. TPN must be administered using an EID (IV pump), and requires special IV filter tubing (see Figure 8.10) for the amino acids and lipid emulsion to reduce the risk of particles entering the patient.
How long can you survive on a TPN?
The median time from initiation of TPN to death was 5 months (range, 1-154 months). Sixteen patients survived >or=1 year. TPN-related complications included 18 catheter infections (1 per 2.8 catheter-years), 4 thromboses, 3 pneumothoraces, and 2 episodes of TPN-related liver disease.
What type of patient are TPN given to?
Patients with pancreatic abnormalities like pancreatitis. Eating can cause stress to the pancreas. Therefore, TPN is necessary. Ulcerative colitis patients are also given total parenteral nutrition. Patients who are suffering from small bowel obstructions and are unable to consume anything are also candidates for TPN.
What does TPN stand for in nursing?
TPN: Nursing Indications, Considerations, and Goals. TPN: Nursing Indications, Considerations, and Goals. Total parenteral nutrition (TPN) is a medical method that is given to patients, bypassing the gastrointestinal system.
How is TPN administered?
TPN is administered into a vein, generally through a PICC (peripherally inserted central catheter) line, but can also be administered through a central line or port-a-cath. Patients may be on TPN for many weeks or months until their issues resolve.