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1907386
Nurses Role in TPN
Description
Mind Map on Nurses Role in TPN, created by blinn.melissa on 24/01/2015.
Mind Map by
blinn.melissa
, updated more than 1 year ago
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Created by
blinn.melissa
over 9 years ago
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Resource summary
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
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
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
monitor lab studies
liver function tests, plasma proteins, prothombin time, plasma and urine osmoality; Ca, Mg and phosphate levels
CBC, electrolytes, BUN daily
keep site sterile and change dressing q48h
monitor for fluid overload
monitor for adverse reactions
dyspnea, nausea, headache, back pain, sweating, dizziness
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
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
MELISSA FERRELL 1/24/2015
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