Exam 21: Parenteral Nutrition Support

Traditionally, central catheters enter the circulation at the ____ vein and are threaded into the superior vena cava with the tip of the catheter lying close to the heart.

Discuss the quality-of-life issues that need to be addressed with patients receiving long-term nutrition support at home.

Which vitamin is omitted from parenteral solutions prescribed for patients on warfarin therapy?

Discuss possible metabolic complications associated with parenteral nutrition and suggest ways to correct such complications.

A patient on total parenteral nutrition for longer than a few ____ is at risk for "sludge" buildup in the gallbladder and gallstone formation.

Short Case Study Elena Hayes is a 64-year-old realtor. She has been admitted to the local medical center six times in the past 3 months with severe pancreatitis. Elena has been experiencing intractable vomiting and intense pain after eating. Her insurance will not cover home nutritional support. She is being transferred to a subacute nursing facility for therapy. -Laboratory values indicate that Elena's blood glucose is extremely high. Which nutrient component of her total parenteral nutrition must be adjusted?

Parenteral nutrition would most likely be contraindicated in which condition?

Define refeeding syndrome. Why does it occur and how can it be prevented?

Which form of glucose is typically used in parenteral solutions?

Caution should be taken when administering parenteral lipids to people with which condition?

Compare and contrast peripheral parenteral nutrition and total parenteral nutrition.

A 12-year-old patient is being weaned off of total parenteral nutrition. In addition to total parenteral nutrition, he is on a soft diet. The patient is 5 ft 2 in. tall and weighs 110 lb. His energy needs are estimated to be approximately 2100 kcal/day. His kcalorie count reveals he is consuming 1700 kcal/day. Which intervention is appropriate at this time?

Osmolarity refers to milliosmoles of ions and molecules per ____.

The use of peripheral parenteral nutrition is not recommended in a patient with ____.