A nurse is caring for a client who is receiving continuous total parenteral nutrition (TPN) via a central venous catheter. Which of the following nursing interventions are essential for the safe administration and monitoring of this therapy? Select all that apply.
- Change the intravenous tubing and filter every 24 hours.Answer
- BAdminister scheduled intravenous push medications through the TPN lumen.
- Assess the client's capillary blood glucose levels every 4 to 6 hours.Answer
- DIncrease the continuous infusion rate to catch up if the TPN falls behind schedule.
- Maintain a bag of 10% dextrose in water (D10W) readily available at the bedside.Answer
Answer
The essential interventions for safe TPN administration include changing the IV tubing and filter every 24 hours, assessing blood glucose every 4 to 6 hours, and keeping a bag of 10% dextrose in water (D10W) available at the bedside.
Safe administration of total parenteral nutrition requires meticulous infection control (changing administration sets every 24 hours), vigilant metabolic monitoring (checking blood glucose every 4 to 6 hours due to high dextrose content), and preparation for sudden interruptions (having D10W available to prevent rebound hypoglycemia).
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Key Concept
Total Parenteral Nutrition (TPN) Safety and Monitoring Protocols