NSG 320 EXAM 3
Total parenteral nutrition (TPN)
entire nutrition is inside an IV bag and goes right into the blood
What line is TPN given through
given CENTRAL LINE! not peripheral IV
When are is central line feeding usually given
to a client who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped?
start and stop SLOW and GRADUALLY
Patients receiving TPN are at high risk for
hyper or hypoglycemia
,How often should TPN tubing be changed?
every 24 hours
What should the nurse do if the TPN bag is almost empty, but the next bag is not
ready..
Hang 10% dextrose water (to help avoid hypoglycemia)
Nursing care for TPN
-daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
Signs of hyperglycemia
Polydipsia, polyuria, polyphagia, nausea, HA, abdominal pain
Enteral feeding
Nutrients supplied to the gastrointestinal tract orally or by feeding tube (NGT, PEG, G-
Tube)
,Complications of enteral feeding
-tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome
happens within 24-48 hours of starting enteral or parenteral nutrition; giving too
much nutrition in a short amount of time
Refeeding Syndrome S/S
24-48hrs of therapy d/t fluid shifts: bradypnea, lethargy, confusion, weakness
How to avoid refeeding syndrome
give GRADUALLY
increase calories SLOWLY
Gastritis
inflammation/irritation of the lining of the stomach
, GERD
esophageal irritation by stomach acid that travels into the esophagus
If GERD is not treated what can it lead to...
barrettes esophagus
Peptic Ulcer Disease
open sores/ulcers in the lining of stomach or small intestine
Gastric vs duodenal ulcers
Gastric = ulcer in the stomach; Duodenal = ulcer in the small intestine
S/S of GERD
-dyspepsia "heartburn"
Diet consideration for GERD and PUD
Total parenteral nutrition (TPN)
entire nutrition is inside an IV bag and goes right into the blood
What line is TPN given through
given CENTRAL LINE! not peripheral IV
When are is central line feeding usually given
to a client who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped?
start and stop SLOW and GRADUALLY
Patients receiving TPN are at high risk for
hyper or hypoglycemia
,How often should TPN tubing be changed?
every 24 hours
What should the nurse do if the TPN bag is almost empty, but the next bag is not
ready..
Hang 10% dextrose water (to help avoid hypoglycemia)
Nursing care for TPN
-daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
Signs of hyperglycemia
Polydipsia, polyuria, polyphagia, nausea, HA, abdominal pain
Enteral feeding
Nutrients supplied to the gastrointestinal tract orally or by feeding tube (NGT, PEG, G-
Tube)
,Complications of enteral feeding
-tube displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome
happens within 24-48 hours of starting enteral or parenteral nutrition; giving too
much nutrition in a short amount of time
Refeeding Syndrome S/S
24-48hrs of therapy d/t fluid shifts: bradypnea, lethargy, confusion, weakness
How to avoid refeeding syndrome
give GRADUALLY
increase calories SLOWLY
Gastritis
inflammation/irritation of the lining of the stomach
, GERD
esophageal irritation by stomach acid that travels into the esophagus
If GERD is not treated what can it lead to...
barrettes esophagus
Peptic Ulcer Disease
open sores/ulcers in the lining of stomach or small intestine
Gastric vs duodenal ulcers
Gastric = ulcer in the stomach; Duodenal = ulcer in the small intestine
S/S of GERD
-dyspepsia "heartburn"
Diet consideration for GERD and PUD
