ASPEN
What is thrombophlebitis? - ANSWERinflammation of a vein associated with a clot
formation
Rapid intravenous infusion of potassium phosphate may result in -
ANSWERthrombophlebitis
What is the most common complication associated with PN administration? -
ANSWERHyperglycemia
What is the glycemic target for the majority of critically ill adult patients? - ANSWER140
to 180 mg/dL
The preferred approach for subcutaneous insulin administration is - ANSWERbasal-
bolus insulin therapy
Which form of glutamine supplementation improves physical compatibility and stability
for admixture in PN solutions? - ANSWERGlutamine dipeptide
Which of the following additives has the greatest risk of destabilizing the lipid injectable
emulsion (ILE) in a total nutrient admixture (TNA)? - ANSWERIron dextran
Common factors associated with the majority of PN prescribing errors include: -
ANSWERinadequate knowledge regarding PN therapy
certain patient characteristics related to PN therapy (e.g., age, impaired renal function)
miscalculation of PN dosages
specialized PN dosage formulation characteristics
and prescribing nomenclature.
What is the best method to express the dextrose content on the label of a PN
formulation in order to avoid misinterpretation? - ANSWERGrams per 24-hour nutrient
infusion (e.g., 225 g/day)
A complete PN order shall contain the following: - ANSWERComplete patient identifiers
Birth date or age
Allergies
Height and dosing weight in metric units
Diagnosis
Indication(s) for PN
Administration route/vascular access device (peripheral versus central)
Contact information for prescriber
Date and time order submitted
Administration date and time
, Volume and infusion rate
Infusion schedule (continuous or cyclic)
Type of formulation (TNA versus dextrose/amino acids with separate ILE).
One gram of dextrose is equal to - ANSWER3.4 calories
PN ingredients shall be ordered as follows: - ANSWERAmounts per day (for adult
patients) or amounts per kilogram per day (for pediatric and neonatal patients)
Electrolytes as complete salt form
Full generic name for each ingredient, using The Joint Commission approved
abbreviations and avoiding ISMP error prone abbreviations, symbols, and dose
designations
Dose for each macronutrient and electrolyte
Dose for vitamins (including MVI and individual entities)
Dose for trace elements (including multi-components and/or individual entities)
Dose for each non-nutrient medication.
One (1) mL of 20% ILE is equal to - ANSWER2 kcals
Current recommendations regarding safe administration of lipid injectable emulsion
(ILE) include - ANSWERILE hang time up to 24 hours when included as part of a total
nutrient admixture (TNA).
A peripherally inserted central catheter (PICC) is defined as a catheter inserted via
peripheral vein whose distal tip lies in the - ANSWERvena cava
PICC line disadvantages include: - ANSWERHigh rate of malposition or coiling
Limited patient arm mobility associated with limited ability to perform daily self-care due
to the availability of only one hand
Longer catheter that may be more prone to occlusion.
Advantages of PICC lines include: - ANSWERNo risk of pneumothorax or puncture or
internal carotid or subclavian arteries
Available in single, double, and triple lumens
Repeated skin puncture is not required.
When is it most appropriate to start PN infusion in a patient with a new central venous
catheter inserted at the bedside without fluoroscopy? - ANSWERAfter chest X-ray
confirms correct placement of catheter tip
According to the Centers for Disease Control and Prevention (CDC), which of the
following is true regarding peripherally inserted central catheter (PICC) line care -
ANSWERRemove the PICC line only if it is suspected or known to be the source of
infection
What is thrombophlebitis? - ANSWERinflammation of a vein associated with a clot
formation
Rapid intravenous infusion of potassium phosphate may result in -
ANSWERthrombophlebitis
What is the most common complication associated with PN administration? -
ANSWERHyperglycemia
What is the glycemic target for the majority of critically ill adult patients? - ANSWER140
to 180 mg/dL
The preferred approach for subcutaneous insulin administration is - ANSWERbasal-
bolus insulin therapy
Which form of glutamine supplementation improves physical compatibility and stability
for admixture in PN solutions? - ANSWERGlutamine dipeptide
Which of the following additives has the greatest risk of destabilizing the lipid injectable
emulsion (ILE) in a total nutrient admixture (TNA)? - ANSWERIron dextran
Common factors associated with the majority of PN prescribing errors include: -
ANSWERinadequate knowledge regarding PN therapy
certain patient characteristics related to PN therapy (e.g., age, impaired renal function)
miscalculation of PN dosages
specialized PN dosage formulation characteristics
and prescribing nomenclature.
What is the best method to express the dextrose content on the label of a PN
formulation in order to avoid misinterpretation? - ANSWERGrams per 24-hour nutrient
infusion (e.g., 225 g/day)
A complete PN order shall contain the following: - ANSWERComplete patient identifiers
Birth date or age
Allergies
Height and dosing weight in metric units
Diagnosis
Indication(s) for PN
Administration route/vascular access device (peripheral versus central)
Contact information for prescriber
Date and time order submitted
Administration date and time
, Volume and infusion rate
Infusion schedule (continuous or cyclic)
Type of formulation (TNA versus dextrose/amino acids with separate ILE).
One gram of dextrose is equal to - ANSWER3.4 calories
PN ingredients shall be ordered as follows: - ANSWERAmounts per day (for adult
patients) or amounts per kilogram per day (for pediatric and neonatal patients)
Electrolytes as complete salt form
Full generic name for each ingredient, using The Joint Commission approved
abbreviations and avoiding ISMP error prone abbreviations, symbols, and dose
designations
Dose for each macronutrient and electrolyte
Dose for vitamins (including MVI and individual entities)
Dose for trace elements (including multi-components and/or individual entities)
Dose for each non-nutrient medication.
One (1) mL of 20% ILE is equal to - ANSWER2 kcals
Current recommendations regarding safe administration of lipid injectable emulsion
(ILE) include - ANSWERILE hang time up to 24 hours when included as part of a total
nutrient admixture (TNA).
A peripherally inserted central catheter (PICC) is defined as a catheter inserted via
peripheral vein whose distal tip lies in the - ANSWERvena cava
PICC line disadvantages include: - ANSWERHigh rate of malposition or coiling
Limited patient arm mobility associated with limited ability to perform daily self-care due
to the availability of only one hand
Longer catheter that may be more prone to occlusion.
Advantages of PICC lines include: - ANSWERNo risk of pneumothorax or puncture or
internal carotid or subclavian arteries
Available in single, double, and triple lumens
Repeated skin puncture is not required.
When is it most appropriate to start PN infusion in a patient with a new central venous
catheter inserted at the bedside without fluoroscopy? - ANSWERAfter chest X-ray
confirms correct placement of catheter tip
According to the Centers for Disease Control and Prevention (CDC), which of the
following is true regarding peripherally inserted central catheter (PICC) line care -
ANSWERRemove the PICC line only if it is suspected or known to be the source of
infection
