1907386
Description
Mind Map by blinn.melissa, updated more than 1 year ago
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Created by blinn.melissa
almost 10 years ago
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Nurses Role in TPN
- assess
- allergies, drug history,
drug interactions
- presence or history of
nutritional deficits
- physical exam
- TPN solution is appropriate
for patient age and organ
function status
- lab studies:
protein/albumin,
creatinine/BUN,
CBC electrolytes,
lipid profile,
serum iron levels
- allergies, drug history,
drug interactions
- goals
- no adverse
reaction to TPN
- lab studies stay within
normal ranges/improve
- nutritional status
improves
- patient can state
possible s/e and
adverse reactions and
will report immediately
if any occur
- patient will not develop
an infection and will
keep site clean
- no adverse
reaction to TPN
- interventions
- monitor vital signs
- daily weights
- monitor fluid
I&O's
continuously
- monitor glucose
levels q6h or as
ordered
- monitor for signs and
symptoms of
hyperglycemia and
hypoglycemia
- give insulin
subq PRN
- give insulin
subq PRN
- monitor for signs and
symptoms of
hyperglycemia and
hypoglycemia
- monitor lab
studies
- liver function tests, plasma
proteins, prothombin time,
plasma and urine osmoality; Ca,
Mg and phosphate levels
- CBC,
electrolytes,
BUN daily
- liver function tests, plasma
proteins, prothombin time,
plasma and urine osmoality; Ca,
Mg and phosphate levels
- keep site sterile
and change
dressing q48h
- monitor for
fluid overload
- monitor for
adverse
reactions
- dyspnea, nausea,
headache, back
pain, sweating,
dizziness
- dyspnea, nausea,
headache, back
pain, sweating,
dizziness
- monitor vital signs
- patient teaching
- s/s of infection: chills,
fever, tenderness at
infusion site
- s/s of hyperglycemia: polydipsia,
polyphagia, polyuria
- s/s of hypoglycemia:
nervousness,
irritability, dizziness
- importance of
daily weights
- monitor I&Os
- report: increase in
weight, decrease
in urine output,
shortness of
breath, swelling,
heart palpitations
- never stop
infusion
abruptly unless
HCP instructs to
- s/s of infection: chills,
fever, tenderness at
infusion site
- evaluate
- patient's
nutritional
status has
improved
- patient verbalizes
importance of
reporting side effects
and adverse reactions
immediately
- patient doesn't
acquire infection
or adverse reaction
related to TPN
- patient's
nutritional
status has
improved
- MELISSA FERRELL 1/24/2015
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