When deciding if parenteral nutrition should be given peripherally or centrally, the nurse recognizes which statement is true?

Question

1. Lipids must be given centrally.
2. The maximum percentage of dextrose that can be given peripherally is up to 10%.
3. Clients requiring long-term parenteral nutrition generally receive it peripherally.
4. Providing parenteral nutrition peripherally cannot meet calorie needs.

Answer 1

2
Rationale 1: Lipids may be given peripherally as well as centrally.
Rationale 2: Dextrose concentrations greater than 10% must be given centrally because of the risk of phlebitis at higher concentrations.
Rationale 3: Clients requiring long-term parenteral nutrition generally receive it centrally.
Rationale 4: Parenteral nutrition can meet caloric needs, but should be started gradually and increased slowly to prevent hyperglycemia.
Global Rationale: Dextrose concentrations greater than 10% must be given centrally because of the risk of phlebitis at higher concentrations. Lipids may be given peripherally as well as centrally. Clients requiring long-term parenteral nutrition generally receive it centrally. Parenteral nutrition can meet caloric needs, but should be started gradually and increased slowly to prevent hyperglycemia.