solved: Parenteral Nutrition Worksheet 1. Define TPN and list the various…


Parenteral Nutrition Worksheet 1. Define TPN and list the various…Parenteral Nutrition Worksheet1. Define TPN and list the various components of a TPN solution.2. What is the difference between a 2:1 vs a 3:1 solution?3. List 3 indications and 3 contraindications for the use of parenteral nutrition.4. How does a central parenteral nutrition solution differ from a peripheral nutritionsolution?5. What is glucose infusion rate (GIR)?6. Calculate the following grams of CHO, protein, and fat as well as total calories of thefollowing parenteral nutrition solutions:a) 1.5L D25, 5% AA, 4% lipidb) 3L D5, 3% AA, 500 ml 20% lipidc) 2.4L D 17.5, 4.3% AA, 2.08% lipid7. List the various electrolytes and additives found in parenteral nutrition solutions and thevarious forms in which each can be added.8. List 6 potential complications with using central parenteral nutrition solutions, theircauses and treatments. What are some long-term complications?9. When first initiating TPN, what guidelines should you follow? After TPN initiation,describe how you would further advance your solution and rate. How would you initiatePPN?10. List 6 parameters which should be monitored during the initiation and advancement ofparenteral nutrition solutions, and describe why the monitoring of each is important.11. A patient BS ranges between 250-350 on TPN. What would you suggest?12. What are the indications for cycling TPN?13. Explain the proposed benefits of cycling TPN?14. You are about to cycle a TPN solution over 14 hours/day in preparation for home TPNfor your patient.If your total TPN volume is 2080 ml/day, how would you infuse the bagif your start time is 6pm?CRITICAL THINKING QUESTIONS1. A malnourished patient is un-able to eat or expected to be un-able to eat for > 5-7 days.Their GI system is still functioning. What would you suggest for them, enteral nutritionor parenteral nutrition?2. A patient has severe short bowel syndrome. What would you suggest EN or PN.?3. A patient is experiencing altered mental status or severe confusion, the speech languagepathologist deems them unsafe for oral intake. The patient has been eating less than25% for a week now prior to the SLP visit. What would you suggest, EN or PN?4. A patient admitted for respiratory failure requires an endotracheal tube for >/=72hours? What would you suggest, EN or PN?5. A patient has been in the hospital for 3 weeks and has failed their swallow study 3 timeswith an SLP recommendation to keep the patient NPO. What would you suggest for thispatient, PN, nasogastric tube, a gastrostomy tube or a jejunostomy tube?6. A patient is intubated and sedated on propofol. The propofol infusion rate started thismorning was 20 ml/hr. The patient requires 1800 calories per day. How many calorieswill need to come from the tube feeding alone to meet the 1800 calorie requirement? BiologyScienceNutrition NUTR 408

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