What instructions should the nurse provide when teaching the patient and the patient's caregiver how to administer parenteral nutrition (PN)?
a. PN solution should be kept refrigerated until time of administration.
b. Remixing separated mixture components by shaking the bag is common.
c. PN is compatible with most intravenous (IV) medications.
d. Blood glucose monitoring will be necessary.
D
PN increases blood glucose levels, which negatively affects patient outcomes. Frequent monitoring of glucose helps the caregiver to detect problems early. Expect testing frequency to decrease as the patient's condition and response to PN stabilize. Suggest taking PN solution out of the refrigerator for 30 to 60 minutes before scheduled infusion time. Chilled solution often causes discomfort; allowing the solution to warm enhances comfort during infusion. If a precipitate appears, if components of the mixture are separated, or if the color changes, explain that the solution needs to be discarded. Explain that PN is incompatible with most medications; do not add medications to the PN that are not ordered to be added.
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