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NRS 340: TPN EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE GRADED A++ 2025/2026
Terms in this set (44)
parenteral this means via the blood stream
meet nutritional needs what is the goal of TPN?
no do regular IV dextrose solutions contain protein?
170 regular IV dextrose solutions only have cal/L
increased patients who have injury, surgery, burns, or malnourished
from disease require
______nutritional needs.
cardiovascular the volume of regular dextrose solution needed
to meet increased nutritional needs would
exceed the capacity of the system.
pharmacy who prepares the TPN bags?
- they also add electrolytes, trace elements, and
vitamins.
protein TPN contains dextrose + ______________
% weight change = actual weight/ideal or usual weight x 100. Subtract this
from 100.
guideline to initiate TPN: hasn't eaten for 5
days, not expected to eat within the next 5
days or has had inadequate nutritional intake
for 7-10 days.
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5 day rule - or weight loss of 7% of body weight and NPO for 5-7
days
- hypermetabolic state (fever/cancer)
plasma protein key indicators for malnutrition.
- includes albumin, TSP, and ABS lymph
3.5-5.5 normal albumin is g/dL
3.0-3.5 albumin levels of indicate MILD risk of malnutrition
2.5-3.0 albumin levels of g/dL indicate MODERATE risk of
malnutrition
severe albumin < 2.5 g/dL indicates risk of malnutrition.
calcium albumin binds to this, so with decreased albumin you
will see decreased _________________
9-11 normal calcium level: ____-_____
with albumin decrease, oncotic pressure in BV's
peripheral edema decreases leading to ____________
______________.
- may mask muscle wasting
since albumin has a longer half life, is drawn to see
serum pre-albumin accuracy of
monitoring malnutrition.
- drawn weekly when on TPN
6.4-8.2 normal TSP is ______-_______
- protein the pt has eaten
no can you consume albumin?
cancer what do you suspect if a pt eats a ton but has
profound weight loss? AND low protein levels?
no does appetite tell you any nutritional information?
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