Describe the gradual increase of TF with the accompanying decrease of TPN and tell how long you would expect to take before meeting Mrs. S's requirements with TF alone
One important observation is to be aware that the TPN should not be stopped suddenly and the tube feeding started full strength at the final flow rate. After not feeding by GI, food needs to be introduced gradually to prevent diarrhea. First, decide on the tube feeding to be started, then decide on the strength. The flow rate would probably be about 25 cc/hr with ½ strength for most feedings. Since there are many ways to determine the rate of increase, the answer here should be within the framework of your teaching. Another important point is to calculate the kcals and protein the patient is receiving from the tube feeding and decrease the TPN by the appropriate amount so that there is no change or little change in the total kcal/protein intake. As the tube feeding is increased, decrease the TPN. Without complications, Ms. S should be to her final flow rate at full strength by about the fifth day.
You might also like to view...
A 71-year-old male patient with a history of myocardial infarction (MI) and peripheral vascular disease (PVD) has been advised by his family physician to begin taking 81 mg aspirin once daily
Which of the following statements best captures an aspect of the underlying rationale for the physician's suggestion? A) Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin. B) Aspirin helps to inhibit ADP action and minimizes platelet plug formation. C) Aspirin can reduce unwanted platelet adhesion by inhibiting TXA2 synthesis. D) Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.
A patient is admitted with pulmonary edema. Which portions of the admission assessment have priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Cardiac history 2. Pulmonary history 3. Renal history 4. Family history of genetic illnesses 5. Vaccination status
Identify the medical condition that the drug form known as a "troche" is commonly used to treat.
A. Asthma B. Sore throat C. Toothache D. Bradycardia
Automated computerized staffing allows for which advantage to the staff?
a. It reduces the workload of the nurse manager. b. Staff has many options on a first-come, first-served basis. c. It provides for changes in daily patient acuity. d. Weekend options are available.