EBK PHARMACOLOGY AND THE NURSING PROCES
EBK PHARMACOLOGY AND THE NURSING PROCES
8th Edition
ISBN: 9780323358989
Author: Snyder
Publisher: Elsevier Course Content Deliv.
Question
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Chapter 55, Problem 1CS

(1)

Summary Introduction

To describe:

The nurse best answer about Mrs. C. doubt about the infusion bag.

Case summary:

Mrs. C. is a florist (28-year-old) suffered from severe vomiting due to pregnancy (at 13 weeks of gestation) and she cannot able to eat. Due to lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

(2)

Summary Introduction

To describe:

The nurse should give the best response to Mrs. C. doubt about the causes of TPN.

Case summary:

Mrs. C. is a florist (28-year-old) suffered from severe vomiting due to pregnancy (at 13 weeks of gestation) and she cannot able to eat. Due to lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

(3)

Summary Introduction

To describe:

The potential complications that can occur with peripherally administered TPN, which should be monitored by the nurse.

Case summary:

Mrs. C. is a florist (28-year-old) suffered from severe vomiting due to pregnancy (at 13 weeks of gestation) and she cannot able to eat. Due to lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

(4)

Summary Introduction

To describe:

The priority actions of the nurse, when she noticed that one of the contents listed as 20% dextrose.

Case summary:

Mrs. C. is a florist (28-year-old) suffered from severe vomiting due to pregnancy (at 13 weeks of gestation) and she cannot able to eat. Due to lack of ability to eat and dehydration (due to vomiting and nausea), she has been acknowledged in the hospital. She is suggested to give total parenteral nutrition (TPN) therapy for one week. She will be continuing with TPN through a peripheral intravenous tube (along with the infusion bag).

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg.  3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day
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