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Meta © 2022 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. What nursing actions are required in the administration of parenteral nutrition?Use strict aseptic technique with IV tubing, dressing changes, and TPN solution, and refrigerate solution until 30 min before using. (Infusion site is at high risk for development of infection.) Monitor blood glucose levels. Observe for signs of hyperglycemia or hypoglycemia and administer insulin as directed.
What is the nurse's responsibilities in administering TPN?Educate client on the need for and use of TPN. Apply knowledge of nursing procedures and psychomotor skills when caring for a client receiving TPN. Apply knowledge of client pathophysiology and mathematics to TPN interventions. Administer parenteral nutrition and evaluate client response (e.g., TPN)
Which action would the nurse implement when a client is receiving TPN?When TPN is infusing, blood glucose levels should be monitored via accucheck every 4 hours to monitor for hyperglycemia. Sliding scale insulin is administered for elevated blood glucose levels according to facility protocol.
Which action would the nurse implement when a client is receiving total parenteral nutrition quizlet?TPN with IV therapy is prone to air embolism. The nurse instructs the client to prevent air embolism with total parenteral nutrition (TPN) by performing the Valsalva's maneuver.
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Which action would the nurse take when administering total parenteral nutrition?
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