During an acute exacerbation of inflammatory bowel disease, a patient is to receive total parenteral nutrition (TPN) and lipids. Which of these interventions is the priority when caring for this client?
- Infuse the solution in a large peripheral vein
- Monitor the patient’s blood glucose per protocol
- Change the administration set every 72 hours
- Monitor urine specific gravity every shift
Answer:
2. Monitor the patient’s blood peripheral vein
TPN can cause hyperglycemia, so blood glucose levels should be closely monitored. Because of the hypertonicity of the TPN solution, it must be administered via a central venous catheter. The high glucose and lipids makes the TPN an excellent medium for bacterial growth so administration sets should be changed every 24 hours if the TPN contains lipids.
My brother recommended I might like this web site.
He used to be totally right. This put up truly made my day.
You can not imagine simply how a lot time I had spent for this information! Thank you!
A
S I know some of things but your description is very useful for me. Thank you very much.