Nursing Considerations for Tube Feeding with Natural Food
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Questions and Answers

What should the nurse do if there are any discrepancies between the TPN solution and the physician's order?

  • Increase the flow rate of the TPN.
  • Hang the solution and notify the physician.
  • Do not hang the solution and notify the pharmacy. (correct)
  • Add necessary medications to the solution.

Which of the following is a correct practice regarding the administration of TPN or PPN?

  • Add any other medication to the solution once distributed by pharmacy.
  • Administer through IV tubing without an inline filter.
  • Increase the TPN rate rapidly in the beginning.
  • Check for crystals in the solution using a 1.2 micron filter. (correct)

What should be done if a TPN solution appears cloudy, dark in color, or has visible fat globules?

  • Check for crystallization using a 0.22 micron filter.
  • Administer it to the patient regardless.
  • Return it to the pharmacy for replacement. (correct)
  • Increase the TPN rate to clear the solution.

What is a key consideration when infusing TPN through IV tubing?

<p>Using a 1.2 micron filter for lipid-containing solutions. (C)</p> Signup and view all the answers

What is the appropriate action if there are any visible fat globules in the TPN solution?

<p>Return it to the pharmacy for replacement. (D)</p> Signup and view all the answers

In what circumstances should the TPN rate be gradually increased?

<p>Based on patient tolerance and various balance considerations. (A)</p> Signup and view all the answers

What is the recommended frequency for administering tube feeding according to the text?

<p>Every 4 hours (B)</p> Signup and view all the answers

What is the basic dilution ratio for tube feeding formula specified in the text?

<p>1:1 (1kcal = 1ml of water) (C)</p> Signup and view all the answers

What type of milk is suggested in tube feeding for a client based on their condition?

<p>Milk type depends on the client's condition (A)</p> Signup and view all the answers

How should tube feeding formula be stored to prevent contamination?

<p>In the refrigerator (D)</p> Signup and view all the answers

What is recommended when using meat in tube feeding according to the text?

<p>Boil chicken breast or Vienna sausage twice to reduce salt and fat content (C)</p> Signup and view all the answers

How much total volume per day is recommended for tube feeding according to the text?

<p>2300 ml/day (A)</p> Signup and view all the answers

What is the recommended filter size for lipid infusions?

<p>1.2 micron filter or larger (D)</p> Signup and view all the answers

What is the recommended initial infusion rate for lipid solutions?

<p>1 mL/minute (A)</p> Signup and view all the answers

If a new TPN solution is not available when the previous one has infused, what interim solution should be hung?

<p>10% dextrose in water (C)</p> Signup and view all the answers

If a central line is removed due to complications, how should the TPN solution be administered?

<p>A peripheral solution with at least 10% dextrose must be used (C)</p> Signup and view all the answers

If a TPN infusion falls behind schedule, what action should be taken?

<p>Do not attempt to catch up, continue at the original rate (A)</p> Signup and view all the answers

How should TPN infusions be discontinued?

<p>Taper the rate down as ordered (C)</p> Signup and view all the answers

Flashcards

TPN Discrepancy Action

If there is a discrepancy between the TPN solution and the physician's order, do not hang the solution and immediately notify the pharmacy.

TPN/PPN Filter

When administering TPN or PPN, always use a 1.2 micron filter to check for crystals in the solution.

Cloudy TPN

If the TPN solution appears cloudy, dark, or has visible fat globules, return it to the pharmacy for a replacement.

TPN Lipid Filter

When infusing TPN through IV tubing, always use a 1.2 micron filter for lipid-containing solutions.

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Fat Globules in TPN

If the TPN solution contains visible fat globules, return it to the pharmacy for a replacement.

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TPN Rate Increase

The TPN rate should be gradually increased based on patient tolerance and various balance considerations.

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Tube Feeding Frequency

Tube feeding should be administered every 4 hours.

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Tube Feeding Dilution

The basic dilution ratio for tube feeding formula is 1:1, meaning 1 kcal equals 1 ml of water.

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Tube Feeding Milk

The type of milk used in tube feeding depends on the client's condition.

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Tube Feeding Storage

To prevent contamination, tube feeding formula should be stored in the refrigerator.

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Tube Feeding Meat

When using meat in tube feeding, boil chicken breast or Vienna sausage twice to reduce salt and fat content.

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Tube Feeding Volume

A total volume of 2300 ml/day is recommended for tube feeding.

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Lipid Infusion Filter

Lipid infusions should be administered through a 1.2 micron filter or larger.

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Lipid Infusion Rate

The recommended initial infusion rate for lipid solutions is 1 ml/minute.

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TPN Interim Solution

If the current TPN solution is finished and a new one is not available, hang a 10% dextrose in water solution until the new TPN is ready.

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TPN Peripheral Line

If a central line is removed due to complications, administer TPN through a peripheral line using a solution with at least 10% dextrose.

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TPN Schedule Deviation

If the TPN infusion falls behind schedule, do not attempt to catch up. Continue at the original rate.

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TPN Discontinuation

TPN infusions should be discontinued by gradually tapering the rate down as ordered.

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