e 15 The port requires minimal care and allows the patient complete freedom of

E 15 the port requires minimal care and allows the

This preview shows page 15 - 17 out of 73 pages.

e | 15 Indications for Parenteral Nutrition read chart pg 1228 Intake is insufficient to maintain anabolic state. Ability to ingest food orally or by tube is impaired. Patient is not interested or is unwilling to ingest adequate nutrients. The underlying medical condition precludes oral or tube feeding. Preoperative and postoperative nutritional needs are prolonged. Nursing Process: The Care of the Patient Receiving Parenteral Nutrition Assessment read home care pg 1232-33 Assist in identifying patients who are candidates for PN Nutrition status Hydration status Electrolytes Signs and symptoms of hypoglycemia or hyperglycemia Monitor blood glucose Assess for potential complications VS, including temperature every 4 hours or by protocol Put D10 if you don’t have the nutrition liquid Nursing Process: The Care of the Patient Receiving Parenteral Nutrition Diagnoses Imbalanced nutrition Risk for infection Risk for excess or deficient fluid Risk for immobility Risk of ineffective therapeutic regimen Nursing Process: The Care of the Patient Receiving Parenteral Nutrition Planning Major goals may include attaining an optimal level of nutrition, absence of infection, adequate fluid volume, optimal level of activity, knowledge of self-care, and absence of complications. Try to return pt to normal life Collaborative Problems and Potential Complications read chart page 1231 Pneumothorax While putting in the line Clotted or displaced catheter Sepsis Tip goes to lab when it comes out Hyperglycemia Rebound hypoglycemia Fluid overload Respitory distress Prevention of Infection Aseptic technic; mask steril gloves Appropriate catheter and IV site care Strict sterile technique for dressing changes Wear mask when changing the dressing
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P a g e | 16 Assess insertion site Clean, dry, no redness, Assess for indicators of infection Proper IV and tubing care Maintaining Fluid Balance Use infusion pump. Flow rate should not be increased or decreased rapidly. If fluid runs out, hang 10% dextrose solution. Monitor indicators of fluid balance and electrolyte levels. I&O Weights Monitor blood glucose levels. Patient Education Goals and purpose Components of PN Emergency contact numbers Demonstrate use of equipment and how to handle and hang the IV Demonstrate dressing changes Demonstrate how to flush or heparinize the catheter Potential complications and actions TERMS TO KNOW AND NOT CONFUSE Parenteral nutrition is a method of supplying nutrients to the body by the intravenous route.
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