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Total parenteral nutrition may be given to patients for a number of reasons and you can remember what you need to know by thinking of the story of the nutritional-plate IV feeding everyone but the GI-guy. TPN is given via central IV, and it is important to know that nutrients are given outside of the GI tract, shown by the nutritional-plate outside of the GI-guy. Its composition depends on the needs of the patient, but can include IV fat emulsion, amino acids, and added vitamins and minerals. Common side effects of TPN can include hyperglycemia, shown by the hiker-glue-bottle, along with hyperlipidemia, the hiker-lips. Patients with preexisting hyperlipidemia should not receive fat emulsion, as this can exacerbate their condition. In some cases, refeeding syndrome can occur, represented by the refeeding-refeeder. This results in fluid overload and electrolyte disturbances, especially hypophosphatemia. It is also possible to experience nausea and vomiting, shown by the vomit spewing in the air. The snail IV represents that TPN should be administered as a slow infusion. If lipids are given too fast, a fever may develop, so be sure to monitor for one. Use a large central vein to administer TPN, shown by the snail using a large center vine, and this is done in order to prevent thrombophlebitis. Lastly, no added meds should go into the TPN line, shown by the no-sign med-bottles in line. So to summarize. TPN provides nutrition given outside the GI tract, using intravenous administration instead. Side effects may include hyperglycemia, hyperlipidemia, refeeding syndrome, along with nausea and vomiting. Considerations include administering TPN via slow infusion, using a large central vein, and not adding other medications to the TPN line.

educational

story

Nutrition plate IV.png

total parental nutrition.png

Nutrition-plate IV

Total Parenteral Nutrition (TPN)

Intern Content - IV Fluids

Total anomalous pulmonary venous return

Enteral & Parenteral Nutrition (Diet, TPN)

Mechanism

Nutrition plate Outside of GI guy.png

mech.png

Nutritional-plate Outside of GI-guy

Nutrition Given Outside GI

What mechanism of action or pharmacological action is best associated with total parenteral nutrition (TPN)?

Side Effects

Hiker glue bottle.png

fx.png

Hiker-glue-bottle

Hyperglycemia

Which of the following diseases or disorders is most likely a side effect of total parenteral nutrition (TPN)?

Hiker lips.png

Hiker-lips

Hyperlipidemia

Refeeding refeeder.png

Refeeding-refeeder

Refeeding Syndrome

Vomit.png

dude.png

Vomit

Nausea and Vomiting

Which of the following is most likely a sign or symptom of total parenteral nutrition (TPN)?

Considerations

Snail IV.png

Snail IV

Slow IV Infusion

Which of the following medication administration or route details are best associated with total parenteral nutrition (TPN)?

Using Large Center Vine.png

Using Large Center Vine

Use Large Central Vein

No sign Med bottles in Line.png

No-sign Med-bottles in Line

No Added Meds to TPN Line

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Lilley, Rainforth Collins & Snyder, Pharmacology and the Nursing Process, 8th Ed.

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

PANCE Prep Pearls: 2nd Ed, 2017

Pharmacology and the Nursing Process 8e, Lilley, Rainforth Collins, Snyder, 2017

Potter, Perry, Stockert & Hall, 2017, Fundamentals of Nursing, 9th Ed.

This Picmonic was reviewed for academic accuracy.

Nutritional-plate IV feeds everyone in the nursery but poor GI-guy. He&rsquo;s left jumping up and down trying to get a piece of a nutritional-plate. &nbsp;Eventually, he becomes so skinny and malnourished he almosts dies. That&rsquo;s when Hiker-glue-bottle sacrifices himself for the poor GI-guy. Hiker-lips shoots some of his glue on to a Refeeding-refeeder spoon and stuffs that GI&rsquo;s face until he can&rsquo;t eat anymore. The sudden burst of nutrients and sugars make GI sick. He begins to Vomit everywhere. GI decides that he can&rsquo;t handle this life and attempts to make an escape. However the Snail IV was on the chase after him and jabbed at him with a needle. Luckily the snail hits and misses the GI completely and stabs the Large Center Vine instead. So GI tried to get the IV off his trail by hitting her with some Additional Med-bottles but she was having none of that and deflects it with a No-sign.

"I will not increase the rate of TPN if the infusion falls behind schedule."

"I will administer this solution slowly."

"I will administer this solution through a large central vein."

"I will add the patient's other medications to this solution."

"I will use an IV filter with the TPN solution."

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 12/2022/05

Picmonic NCLEX Question of the Day 12/05/2022

Picmonic NCLEX® Question of the Day

An 80-year-old, female patient with an intestinal blockage is ordered total parenteral nutrition (TPN). The student nurse assigned to her is learning about TPN preparation and administration. Which statement made by the student nurse indicates the need for further education?

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