WorksheetsIPP2 Final - TPN
Total questions: 15
Worksheet time: 9mins
Indication for TPN are - when patient is not able to absorb adequate nutrition for at least 5 days.
When the gut is not working
bowel obstructions, GI fistula
IBS or Chrons
severe diarrhea
radiation enteritis
ileus or extended bowl rest
Contradiction of TPN initiation.
when the GI tract is functioning
when a patient is terminal ill or on end of life care
lack of IV access
patient is has no evidence of malnutritions
GI disturbance
What is the Holliday-Segar equation?
Fluid requirement for patient over 20kg
Fluid Requirement = 1500 mL + (20 mL)(weight in kg – 20kg)
Fluid Requirement = 1000 mL + (20 mL)(weight in kg – 20kg)
Fluid requirement for patient under 20kg
How many kcal/g is in carbohydrates?
3.4
2
4
1
How many kcal/mL is in fats?
3.4
2
4
1
How many kcal/g is in protein?
3.4
2
4
1
How is lipid emulsion typically admin to patients?
lipid emulsion must be filtered through 1.2micron filter , do not exceed 12 hours
lipid emulsion must be filtered through 2micron filter , do not exceed 12 hours
lipid emulsion must be filtered through 1.8micron filter , do not exceed 12 hours
The risk we find with custom TPN is calcium and phosphate can bind and precipitate which can cause embolism.
true
false
What is refeeding syndrome, and how can we avoid it?
refeeding i s the process of reintroducing food after malnourishment
refeeding syndrome results from the body winding up in an imbalance of electrolytes
to prevent refeeding syndrome, start with 50% of goal and titrate toward goal
complication arise because patient is not malnourished
What size of filter(s) should be used with different components of TPN?
2-in-1 type
size 0.2 micron filter
3-in-1 type
size 1.2 micron filter
4-in-1 type
size 2.2
micron filter
5-in-1 type
size 0.4 micron filter
Complete metabolic panel (CMP) is a monitoring parameter for TPN, how often should it be tested?
every 1 to 3 days
weekly
every 1 to 7 days
1 to 4 times a day
Basic metabolic panel (BMP) is a monitoring parameter for TPN, how often should it be tested?
every 1 to 3 days
weekly
every 1 to 7 days
1 to 4 times a day
Triglycerides is a monitoring parameter for TPN, how often should it be tested?
every 1 to 3 days
weekly
every 1 to 7 days
1 to 4 times a day
Magnesium and Phosphate is a monitoring parameter for TPN, how often should it be tested?
every 1 to 3 days
weekly
every 1 to 7 days
1 to 4 times a day
Point of care (POC) blood glucose monitoring is a monitoring parameter for TPN, how often should it be tested?
every 1 to 3 days
weekly
every 1 to 7 days
1 to 4 times a day
