Total Parenteral Nutrition Patient Assessments

 

Assessments:

  1. For indications and risks of malnutrition
  • weight loss
  • muscle atrophy
  • edema
  • lethargy
  • failure to wean from ventilatory support
  • chronic illness
  • NPO for more than 6 days

2. Vein condition at access site

  • inflammation
  • edema
  • tenderness
  • assess tubing for patency and kinking

3. Lab Values

  • serum albumin
  • total protein
  • transferrin
  • prealbumin
  • triglycerides
  • blood glucose levels

 

4. Pre-existing conditions exacerbated by TPN

  • Electrolyte levels
  • Renal Fx
  • Heart Fx
  • Hepatic Fx
  • Allergy Hx

5. Take Vital Signs, Auscultate lungs, measure weight

6. TPN content – Team Consult: Dietician, physician

  • calories
  • protein
  • fluid requirements

7. Verify Physician’s Orders for

  • nutrients
  • minerals
  • vitamins
  • trace elements
  • electrolytes
  • additional medications – check compatibility
  • flow rate

Perry, Anne and Potter, Patricia. 2009. Clinical Nursing Skills and Techniques. 7th ed. Mosby Elsevier.

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