Why was TPN discontinued and D10W hung in its place during surgery?
The stress of surgery will cause a change in BEE, insulin utilization, lipid utilization, and possible fluid shifts. This would make it impractical, if not impossible, to monitor and control TPN during surgery. However, if TPN were stopped completely without providing a source of glucose, the blood glucose level could drop very low; therefore, D10W was hung.
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a. Active listening b. Restatement of the main points c. Use simple, direct words d. Maintain eye contact
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