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.</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.</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.</p> Signup and view all the answers

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

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

    How should tube feeding formula be stored to prevent contamination?

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

    What is the recommended filter size for lipid infusions?

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

    What is the recommended initial infusion rate for lipid solutions?

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

    How should TPN infusions be discontinued?

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

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