Paloma home health agency and Artex allied present an inservice for home tpn infusions.The client/caregiver can define total parenteral nutrition or hyper alimentation. A. It is a hypertonic solution consisting of dextrose, amino acids, lipids, and select electrolytes and minerals. It is given through a central line to provide all nutrients for the body. B. The solution is a sterile mixture that is prepared by a pharmacist. C. The client will need to be monitored by ongoing assessments and laboratory testing. II. The client/caregiver can list possible reasons for receiving total parental nutrition therapy. A. Reduced intake of calories because of 1. Inability to absorb or digest food (ie, severe vomiting or diarrhea, obstruction, severe burns, trauma, and cancer) B. Prolonged alteration in gastrointestinal function because of 1. Disease, requiring the bowel or other organs to rest (pancreatitis, severe inflammatory bowel disease, etc.) C. Weight loss of 10% or more of usual body weight D. Reduction in values for • Prealbumin • Serum albumin • Total lymphocyte count • Total iron-binding capacity E. Intolerance to food or enteric feedings III. The client/caregiver can demonstrate how to care for TPN solution. A. Keep TPN solution in refrigerator. B. Take next bag of solution from the refrigerator 4 to 6 hours before using, and allow solution to reach room temperature before using. C. Keep supplies in a clean, dry place. D. Keep solution away from children. E. Check solution ...
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