Total Parenteral Nutrition or (TPN feeding)is a method of administration of essential nutrients to the body through a central vein. TPN therapy is indicated to a client with a weight loss of 10% the ideal weight, an inability to take oral food or fluids within 7 days post
surgery, and hypercatabolic situations such as major infection with fever. TPN solutions requires water (30 to 40 mL/kg/day), energy (30 to 45
kcal/kg/day, depending on energy expenditure), amino acids (1.0 to 2.0 g/kg/day, depending on the degree of catabolism), essential fatty acids, electrolytes, vitamins, minerals, and trace elements. These solutions can be adjusted, depending on the presence of organ system impairment or the specific nutritional needs of the client. TPN is usually used in hospital, subacute and long-term care, but it
is also used in the home care settings. The major goals for the patient undergoing total parental nutrition may include improvement of nutritional status, maintaining fluid balance, and absence of complications. Here are four (4) total parenteral nutrition
nursing care plans (NCP) and nursing diagnosis:
1. Imbalanced Nutrition: Less Than Body RequirementsImbalanced Nutrition: Less Than Body Requirements
May be related to
Possibly evidenced by
Desired Outcomes
1. Imbalanced Nutrition: Less Than Body RequirementsRecommended ResourcesRecommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
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Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. Which action will best minimize a patient's risk for infection while receiving central parenteral nutrition?Assessing the patient frequently for signs and symptoms of infection will not reduce the patient's risk for infection. CORRECT. Changing the CPN infusion tubing at least once every 24 hours will minimize the patient's risk for infection.
Which instruction might the nurse give to nursing assistive personnel caring for a patient receiving fat emulsion?Rationale: The nurse would allow a refrigerated fat emulsion to sit for 1 hour at room temperature before infusing it. The tubing on the fat emulsion must be changed every 24 hours, or immediately if contamination is suspected. Fat emulsions cannot infuse through a 0.22-µm IV filter.
What is the initial infusion rate for a 20% fat emulsion?Adult Patients. THE INITIAL RATE OF INFUSION IN ADULTS SHOULD BE 0.5 ML/MINUTE FOR THE FIRST 15 TO 30 MINUTES OF INFUSION. IF NO UNTOWARD REACTIONS OCCUR (SEE ADVERSE REACTIONS SECTION), THE INFUSION RATE CAN BE INCREASED TO 1 ML/MINUTE.
When assisting a patient who has self feeding difficulties Why would the nurse ask the patient to try to self feed?3. When assisting a patient who has self-feeding difficulties, why would the nurse ask the patient to try to self-feed? CORRECT. The nurse would ask the patient to try to self-feed in order to determine what specific assistance or assistive devices the patient needs during meals.
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Which action would the nurse perform to ensure patient safety during PPN and fat emulsion?
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