Chapter 7
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| TPN does what | provides an alternate nutrition route in cases of severe gastrointestinal distress and/or poor nutrition absorbtion
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| TPN (also known as) | Hyperlimentation -hyperals
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| What is the average time of administration for TPN | 10-12 hrs
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| TPN is made between the range of _ml-__L | 500-4
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| what is the average volume of TPM | 3-4
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| what are the 7average ingredients in a TPN_____,_____,_____,_____,_____,_____,______ | *sugar*lipids*trace elements*carbs*electrolytes*protein*amino acids
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| Base ingredients in a TPN(4)_______,______________,__________________,____________________________ | *amino acids *dextrose 70/50*sterile water*lipids20
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| the most common source of calories in TPN are (2)_________________,____________________ | dextrose, fat
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| each gram of dextrose provides _________kcal | 3.45
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| lipids are avail in what % concentrations | 10/20/30
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| what lipid concentration can be infused directly into the vein__________which one must be admixed in IV_______ | 10/20/30
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| a healthy patients caloric support is best provided as a mixed fuel with __-__%of the calories derived from dextrose and __-__% fat | 50/80 20/50
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| each gram of fat provides ____kcal | 9
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| amino acids defined | building blocks of proteins
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| amino acids help provide ________________________________________________ | enough nitrogen for the patient
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| what is PROTOCAL | the standard plan for a course of medical treatment
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| factors considered when deciding on a peripheral or central line(8) | *type of medication*osmolarity/pH of solution to be administered*duration of therapy*dx of med condition of patient*patient references*avail/condition of patients vein*patient history*secondary risk factors
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| hyperglycemia | too high a level of glucose
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| hypoglycemia | too low a level of glucose
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| In re: to TPN, why remove filters | proteins will stick to the filters altering the dose
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| In re: to base ingredients-which additive should be added last | lipids
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| how many additives can a micromix compounder add | 10
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| Phosphate supplementation(potassium phosphate) is often incompatable with calcium | it causes a formation of an insoluable salt
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| Which hood are TPNs usually compounded | LAH
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| TPN is broken down into 2 elements | base/additives
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| FYI for TPN volume scenario | it is better to choose a bag that is too big vs too small
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| what is a Viaflex bag | an empty IV bag
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| When adding base ingredients to bag -what is the order | dextrose/amino acids/lipids/ SWFI
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| Why should lipids be added last in a TPN | because it is opaque white
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| amino acids act as a buffer between what 2 elements | dextrose/lipids
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| why does amino acids act as a buffer | to minimize a possible chemical reaction
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| which ADDITIVE should be added first | potassium phosphate
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| which ADDITIVE should be added next to last | calcium gluconate
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| which ADDITIVE is added last | multivitaminMVI
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