Parenteral Nutrition
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What is parenteral nutrition? | show 🗑
|
||||
| what are electrolytes? | show 🗑
|
||||
| show | -nonfunctioning GIT
-need for Bowel Rest
-severe malnutrition and EN not possible, or inadequate to meet needs
-Patients whose nutrition needs exceed what can be met enterally
-pre-operative repletion of malnourished patients
🗑
|
||||
| contraindications of Parenteral Nutrition Support | show 🗑
|
||||
| PN | show 🗑
|
||||
| CPN | show 🗑
|
||||
| TPN | show 🗑
|
||||
| PPN | show 🗑
|
||||
| show | defined by the position of the tip (NOT by the site of entry)
🗑
|
||||
| Components of PN | show 🗑
|
||||
| Non-tunneled central line | show 🗑
|
||||
| What are the 2 types of short term CPN? | show 🗑
|
||||
| show | -central line via peripheral access
-entrance in antecubital vein
-threaded into subclavian vein
-catheter tip in superior vena cava
🗑
|
||||
| show | -IV antibiotic therapy
-Blood
-Meds
-Chemo
🗑
|
||||
| show | -tunneled catheters
-implanted ports
🗑
|
||||
| What is a tunneled catheter? | show 🗑
|
||||
| How do tunneled catheters decrease risk of infection? | show 🗑
|
||||
| What is an Implanted Port? | show 🗑
|
||||
| show | -for short-term
-standard peripheral lines: site rotation every 48-72 hours
-extended dwell catheters: up to 4 weeks
🗑
|
||||
| show | 48-72 hours
🗑
|
||||
| show | -phlebitis
-phlebotomy
🗑
|
||||
| show | -Monohydrate Glucose
-aka Dextrose
🗑
|
||||
| how many kcals are in dextrose monohydrate? | show 🗑
|
||||
| What are the typical concentrations of Dextrose stock solutions? | show 🗑
|
||||
| What are the typical final dextrose concentrations? | show 🗑
|
||||
| show | -5 mg/kg/min
-7 mg/kg/min may be tolerated in burns/trauma
🗑
|
||||
| what happens when the Maximum CHO load of typical PN solution is exceeded? | show 🗑
|
||||
| What is the typical ptotein source in a PN solution? | show 🗑
|
||||
| show | -may vary in concentration
-8.5% and 10% common
🗑
|
||||
| show | 40-50%
🗑
|
||||
| What % of standard Amino Acid solutions made of Non-essential Amino Acids? | show 🗑
|
||||
| show | -more Essential Amino Acids
-little to no Non-Essential Amino Acids
🗑
|
||||
| How are Amino Acid compositions different for PN solutions for liver failure? | show 🗑
|
||||
| What kinds of lipids are found in the typical PN solution? | show 🗑
|
||||
| How much Essential Fatty acids are in the typical PN solution? | show 🗑
|
||||
| What is the caloric value of amino acids in TPN solution? | show 🗑
|
||||
| show | -8.5%
-10% most common
🗑
|
||||
| What is the minimum amount of CHO needed in a TPN solution to prevent endogenous glucose production? | show 🗑
|
||||
| show | 10 or 20%
-20% more common
🗑
|
||||
| show | -10 kcal/g
-additional kcal is from the glycerol backbone
🗑
|
||||
| what is the maximum amount of lipids that should be given in a TPN solution? | show 🗑
|
||||
| show | -fatty liver
🗑
|
||||
| show | -gluconate
🗑
|
||||
| show | -prevents blood clots from forming
🗑
|
||||
| What is the benefit of adding pepcid to a TPN solution? | show 🗑
|
||||
| Why is iron not added to PN solutions? | show 🗑
|
||||
| How are Structured Triglycerides produced? | show 🗑
|
||||
| show | -can bypass lymphatic system
-don't require carnitine for transport into mitochondria
-are rapidly oxidized
🗑
|
||||
| show | 8.3 kcal/g
🗑
|
||||
| show | -mostly omega-3 fatty acids
-omega-6
-omega-9
🗑
|
||||
| What are the demonstrated benefits of a Structured Triglyceride PN formula compared to standard lipid emulsions? | show 🗑
|
||||
| show | -experimental lipid emulsion that is used in Europe, but not approved by FDA in US
-80% olive oil
-20% soybean oil
-ClinOleic is an example
🗑
|
||||
| What are Fish Oil lipid emulsions? | show 🗑
|
||||
| What is the benefit of using dipeptides containing glutamine for experimental PN solution? | show 🗑
|
||||
| What is the experimental evidence of benefits of Glutamine? | show 🗑
|
||||
| What is a "2-in-1" + lipids formulation? | show 🗑
|
||||
| What is a "Total Nutrient Admixture" (TNA) formulation? | show 🗑
|
||||
| show | ~650 mOsm/L to prevent phlebitis
🗑
|
||||
| What is the result of too high of osmolarity of a peripheral infusion? | show 🗑
|
||||
| What are the advantages of peripheral parenteral nutrition? | show 🗑
|
||||
| show | -osmolarity and volume issues
-maintenance of access (standard IV)
🗑
|
||||
| show | -can accomodate hypertonic solutions
-better for long-term
🗑
|
||||
| What are the disadvantages of central parenteral nutrition? | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kemplea
Popular Clinical Skills sets