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Total Parenteral Nutrition: Indications and Monitoring

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Total Parenteral Nutrition: Indications and Monitoring

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Questions and Answers

What is the primary purpose of monitoring urine output in response to diuretic therapy?

To assess for edema

To monitor for dehydration

To evaluate the response to diuretics (correct)

To measure the overall fluid intake

What is the risk of giving diuretics to patients with fluid volume excess?

Decreased urine output

Dehydration due to shifting of fluid (correct)

Increased edema

Hypertension

Why may medications need to be given intravenously in the home or outpatient setting?

To monitor urine output

Because fluid volume excess may interfere with oral medication absorption (correct)

To assess for edema

To treat hypertension

What is a sign of severe edema?

A 4+ pitting edema Signup and view all the answers

What is the primary method of monitoring edema?

Palpating over tibia, ankles, feet, and sacrum Signup and view all the answers

What is the significance of a cloudy white lung field on a chest x-ray?

It indicates interstitial edema Signup and view all the answers

Why is it unrealistic to expect patients to measure each void at home?

Because it is impractical Signup and view all the answers

What is a sign of excessive response to diuretics?

A 2-pound loss in 1 day Signup and view all the answers

What is the purpose of using diaries for home assessment?

To monitor edema Signup and view all the answers

What is the significance of elevated BUN out of proportion to serum creatinine level?

It indicates excessive response to diuretics Signup and view all the answers

How is pitting edema graded?

From trace (barely perceptible) to 4 (severe) Signup and view all the answers