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
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more