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

• Central venous catheter

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

• Peripherally inserted central catheter

• Surgically inserted. Lines hang out of chest.

• Port-a-cath (port)

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