A patient is admitted with severe malnutrition.A central venous catheter is placed in the right subclavian vein and total parenteral nutrition (TPN)is started.What medical interventions may be initiated with the onset of hyperglycemia?
A) Discontinuing the infusion
B) Adding insulin to the TPN
C) Weaning from the TPN over a 6-hour period
D) Starting an infusion of 0.9% normal saline

Question

Quizplus · Accepted Answer

One method for controlling hyperglycemia in a patient receiving total parenteral nutrition (TPN)is to add insulin to the infusion.Rapid cessation of TPN may not lead to hypoglycemia; however,tapering the infusion over 2 to 4 hours is recommended.Slow advancement of the rate of TPN (25 mL/h)to the goal rate allows pancreatic adjustment to the dextrose load.

A Patient Is Admitted with Severe Malnutrition