Parenteral Nutrition - Higgins - Nutrition Exam 1

Select all of the following indications for parental nutrition

• A person who's able to take medications PO

• A person with motility disorders

• A person with a mechanical bowel obstruction

• A person with impaired absorption. or loss of nutrients via GIA tract

• Patients with an inability to achieve or mantain enteral access

Which of the following patients would peripheral parenteral nutrition be reccomended

• JT who needs parenteral nutrition indefinitely

• MK who needs a large amount of nutrients for parenteral nutrition

• DT who needs parental nutrition and is expected to recover in 10 days

• BG who needs a large amount of nutrients over the next 4 weeks

Match the following descriptions to their proper types of peripheral parenteral nutritions

• Port-a-cath (port)

• Usually used in cancer population. Port hidden under the skin. Lowest infection risk

• Peripherally inserted central catheter

• Surgically inserted. Lines hang out of chest.

• Central venous catheter

• Shortest term. Uses a vein in arm. Highest infection risk

Which of the following is the best description on how peripheral parenteral nutrition (PPN) is different from central parenteral nutrition (CPN)

• Lower concentrations of AA, dextrose, and micronutrients compared to CPN

• Higher concentrations of AA, dextrose, and micronutrients compared to CPN

• PPN is the preferred route due to allowing higher osmolality and wider pH variation

• PPN is best for long term use

Between peripheral parenteral nutrition and central parenteral nutrition, which is preferred

• Centeral

• Parenteral

Which of the following is an advantage when using the peripheral parenteral nutrition (PPN)

• Allows for higher osmolarity

• Allows for wider variation in pH

• Best for long term and large nutrients needed

• Lower risk of infectious, metabolic, and technical complications

Which of the following are the advantage when using the central parenteral nutrition (PPN). Select all that apply

• Allows for higher osmolarity

• Allows for wider variation in pH

• Best for long term and large nutrients needed

• Lower risk of infectious, metabolic, and technical complications

Which of the following is a disadvantage when using the peripheral parental nutrition (PPN)

• Higher risk of phlebitis and vein damage

• Cather insertion, routine catheter use, and care of access site required

• Access is associated with a greater potential for infeciton

Which of the following are disadvantage when using the central parental nutrition (SATA

• Higher risk of phlebitis and vein damage

• Cather insertion, routine catheter use, and care of access site required

• Access is associated with a greater potential for infeciton

Central parenteral nutrition is best for patients who are expected to need nutrition over 14 days or patients who will need nutrition indefinitely

• True

• False