Adult Total Parenteral Nutrition Questions and Answers (100% Correct Answers) Already Graded A+

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Adult Total Parenteral Nutrition
Questions and Answers (100%
Correct Answers) Already Graded A+


TPN Ans: Total parenteral nutrition - fluids, electrolytes,
carbs, protein, fats
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Indications for TPN Ans: - malabsorption/short bowel
syndrome
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- ileus, mechanical bowel obstruction (tumor)


- GI rest


- unable to tolerate EN


- bowel ischemia


- intractable N/V, aspiration risk


- hemodynamic instability


Cons of TPN Ans: - mech/tech issues


- infections


- negative GI effects

- immunosuppression

, 2


- costly

Metabolic Complications of TPN Ans: - hyperglu/TG/capnia


- hypoglycemia


- refeeding syndrome


- vit deficient
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- acid/base imbalance
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- electrolyte: Mg, Ca, Al
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- hepatic: steatosis, steatohepatitis, cholelithiasis, cholestasis


Peripheral Parenteral Nutrition (PPN) Ans: Short term
nutrition when GI function is expected to return in 10-14 days


Peripheral Parenteral Nutrition (PPN): Notes Ans: Lower conc
of nutrients, so more volume is needed and administers all
macronutrients (proteins, carbs, lipids)


Peripheral Parenteral Nutrition (PPN): Cons Ans: Higher risk
of infusion site reactions and phlebitis with high-osmolarity
solutions (600-900 mOsm/L)


Central Parenteral Nutrition (CPN) Ans: Long term solutions
and can even be used permanently for outpatient settings


Central Parenteral Nutrition (CPN): Notes Ans: Requires
venous access and is a high osmolarity diluted by high central
venous blood flow that can administer all macronutrients
(proteins, carbs, lipids)