The client is receiving total parenteral nutrition (TPN), and the solution bag is almost empty. The nurse discovers there are no containers prepared for use. Which is the immediate action of the nurse?
A) Hang dextrose 10% in water (D10W) until new container is ready.
B) Hang normal saline solution (NSS).
C) Slow the rate to keep vein open (KVO) until new container is ready.
D) Stop the infusion and then flush the catheter to maintain patency.
A
Feedback:
Abruptly stopping the administration of hypertonic, high-glucose solutions will result in a rebound hypoglycemic effect and can be avoided if the approximate glucose concentration can be assessed and added to D10W solution. NSS does not contain glucose. Slowing or stopping the rate of infusion will not prevent rebound hypoglycemia.
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