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IV Care: TPN (Total Parenteral Nutrition) Therapy

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TPN fluids feed the body without passing through the stomach. TPN is given by IV with a pump.

Know Your TPN Fluids

  • Read the drug sheet that comes with the TPN. Be aware of any warnings and side effects.

  • Check the label on the TPN bag before starting an IV. Make sure the patient name, TPN fluids, and dose are correct.

  • Do not use TPN with an expired date.

  • Do not use TPN if there are leaks in the bag.

  • Do not use TPN if it looks curdled or oily.

  • Do not use TPN if it has particles in it.

Handle Supplies As Directed

  • Store TPN in the refrigerator. If it’s not kept cold, TPN lasts only 24 hours. Do not freeze.

  • Before using TPN, allow it to get close to room temperature. Do not heat.

  • If vitamins need to be added to the TPN, do so as directed.

  • Put all used needles and syringes in a sharps box.

  • When the IV is done, put the used supplies in a plastic bag. Seal the bag and throw it in the trash.

Track Your Health

  • Weigh yourself daily. If you lose or gain weight, your TPN dose may need adjusting.

  • Keep track of your urine output as directed. Tell the nurse if the amount increases or decreases a lot.

  • Check your blood sugar if directed. A nurse may take a blood sample from you each week. This is to make sure your TPN dose is right for you.

Know These IV Basics

  • Keep the dressing over the catheter exit site clean and dry. Change the dressing if it comes loose or gets soiled or wet.

  • Flush the catheter with saline or heparin as directed.

  • Wipe all injection sites with alcohol.

  • Be sure all IV supplies are in sealed packets. If sterile packets are open, throw away those supplies.

  • Do not stop the pump during an IV unless a nurse tells you to.

When to Call the Nurse

  • Redness near the catheter exit site or at any spot along the catheter line

  • Fever or chills

  • Swelling in the arm, neck, or chest

  • Drainage at the exit site

  • The catheter slips or comes out

  • The TPN doesn’t flow well through the tubing

  • The alarm on the pump comes on

If you have trouble breathing, Call 911 or emergency services

 

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