Deck 9: Parenteral Nutrition

Question 1

Lipids can be administered via both PPN and CPN.

Answer 1

T
Lipids are isotonic and can be administered peripherally or centrally.

Question 2

A three-in-one solution consists of amino acids, insulin, and lipids.

Answer 2

F
A three-in-one solution has amino acids, dextrose, and lipids.

Question 3

Peripheral parenteral nutrition (PPN) concentrations are limited to 8.5% to 15% amino acids, 20% to 70% dextrose, and 20% lipids.

Answer 3

F
The values listed are for central parenteral nutrition (CPN). The veins are larger in the central system and can tolerate increased concentrations.

Question 4

The administration of insulin with a TPN solution helps to control hyperglycemia.

Question 5

PPN is used for therapy longer than 2 weeks.

Question 6

Patients with renal impairment cannot receive TPN.

Question 7

Ordered: Central peripheral nutrition (CPN) formula with:
Amino acids 8.5% in 400 mL
Dextrose 50% in 355 mL
Lipids 20% in 120 mL
The total volume is 1250 mL.
a. Calculate the g per L for amino acids.
b. Calculate the g per bag for amino acids.

Question 8

Ordered: CPN formula with:
Amino acids 8.5% in 400 mL
Dextrose 50% in 355 mL
Lipids 20% in 120 mL
The total volume is 1250 mL.
a. Calculate the g per L for dextrose.
b. Calculate the g per bag for dextrose.

Question 9

Lipids administered with parenteral nutrition improve venous tolerance.

Question 10

The peripheral parenteral nutrition (PPN) order is for sodium chloride 25 mEq per L. The TV is 1330 mL. How many mEq per bag of sodium chloride will the patient receive?

Question 11

The total parenteral nutrition (TPN) order has calcium gluconate 10 mEq per L as an additive. The total volume (TV) is 1400 mL. How many mEq per bag of calcium gluconate will the patient receive?

Question 12

Ordered: CPN formula with:
Amino acids 8.5% in 400 mL
Dextrose 50% in 355 mL
Lipids 20% in 120 mL
The total volume is 1250 mL.
a. Calculate the g per L for lipids.
b. Calculate the g per bag for lipids.

Question 13

TPN solutions can be run for 24 to 30 hours.

Question 14

The parenteral nutrition bag holds 1410 mL to infuse in 12 hours. At how many mL per hr will you set the infusion device?

Question 15

Medications can be given using the port on the TPN tubing during the TPN administration.

Question 16

The TPN order has magnesium sulfate 8 mEq per L. The TV is 1235 mL. How many mEq per bag of magnesium sulfate will the patient receive?