What should the nutrition support team monitor daily while on PN? What should be monitored weekly? Explain your answers
What will be an ideal response?
• Daily: electrolytes, serum glucose, vital signs, weight, intake and output (hydration status)
• Weekly: CBC, PT, PTT, prealbumin, triglycerides, TG, ALT, AST, ALP, total bilirubin, nitrogen balance
• It is essential to monitor electrolytes and glucose daily to ensure tolerance to the feeding regimen.
• This also provides the framework from which serum electrolytes can be managed through changes in the parenteral solution. Refeeding status is a serious concern and requires monitoring of Mg, Phos., and K levels.
• Monitoring weight and intake/output records allows the team to monitor hydration status and to ensure tolerance to the fluid load that the parenteral solution provides.
• Weekly laboratory values provide data needed to monitor changes in nutritional status.
- These would include the prealbumin and the nitrogen balance.
• Other labs allow the team to evaluate organ function and any potential intolerance to the nutrition support.
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