Nursing Considerations for Tube Feeding with Natural Food

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

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

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

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

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

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

Tube feeding should be administered every 4 hours.

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

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

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

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

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

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

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

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.

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

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

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