1193319
Description
Mind Map by da_sniegowski, updated more than 1 year ago
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Created by da_sniegowski
about 10 years ago
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Nurses Role in
TPN Care
- Obtain Complete
Physical Exam
- Intervention: Use strict aseptic
technique with IV tubing, dressing
changes, and TPN solutions .
Refrigerate solution until 30 minutes
before using. ( Infusing site is high risk for developing infection)
- Maintain accurate infusion rate changes
gradually, ( Never discontinue TPN abruptly
may cause hypoglycemia and sudden
change in flow rate -can cause fluctuations
in blood glucose levels
- Maintain accurate infusion rate changes
gradually, ( Never discontinue TPN abruptly
may cause hypoglycemia and sudden
change in flow rate -can cause fluctuations
in blood glucose levels
- Intervention: Use strict aseptic
technique with IV tubing, dressing
changes, and TPN solutions .
Refrigerate solution until 30 minutes
before using. ( Infusing site is high risk for developing infection)
- Obtain health history,
allergies, drug history possible
drug interactions
- Intervention : Monitor Blood glucose,
observe for signs of hyperglycemia and
hypoglycemia, and administer insulin as
directed. Blood glucose levels may be
affected if TPN is turned off, if the rate is
reduced or if excess levels of insulin are
added to the solution
- Intervention : Monitor Blood glucose,
observe for signs of hyperglycemia and
hypoglycemia, and administer insulin as
directed. Blood glucose levels may be
affected if TPN is turned off, if the rate is
reduced or if excess levels of insulin are
added to the solution
- Assess for presence of
history of deficits such as
inadequate oral intake, GI
disease, and increase metabolic need
- Intervention:
Monitor
VS,observe
for signs of
infection
(High Temp)
- Intervention:
Monitor
VS,observe
for signs of
infection
(High Temp)
- Obtain Lab
studies:-Protein &
Albumin,
Creatinine/BUN,
CBC Electrolytes,
lipid profile, Serum
Iron
- Monitor:
I&Os, daily
weights,
- Monitor for
signs of fluid
overload, (TPN
is hypertonic
solution and
can create
intravascular
shifting of
extracellular
fluid
- Monitor:
I&Os, daily
weights,
- Goals, Client will : 1, Exhibit improvement or stabilization of
nutritional status, 2. Be free of infection or injury related to TPN .
3. Demonstrate an understanding of the drugs actions by
accurately describing drug side effects and precautions
4.Immediately report side effects such as symptoms of
hypoglycemia or hyperglycemia, fever, chills cough, or malaise
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