University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2019
Views:

128

Pages:

1
Author:

esfredint7qo

ACTIVE LEARNING TEMPLATE: Nursing Skill Parenteral Nutrition SKILL NAME____________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Skill Administration of nutrition via an intravenous catheter (usually central). Indications non-functional gastrointestinal system; critical illness; major trauma Outcomes/Evaluation Proper nutrients are supplied to maintain bodily functions; no fluid overload; Potential Complications Fluid overload; phlebitis; infection/sepsis; allergic reaction; hypothermia CONSIDERATIONS Nursing Interventions (pre, intra, post) Pre: proper PPE/hygiene; establish CVA; warm solution for 1 hour to room temp.; check patency/flush line according to facility protocol Intra: monitor for allergic reaction; monitor rate of infusion; monitor labs for malnutrition/toxicity Post: stop pump/discontinue infusion; flush line according to facility protocol; document tolerance of infusion; elevate bed head to reduce aspiration Client Education what they are receiving and why; signs of allergic reaction or fluid overload to report to nurse Nursing Interventions Sterile technique to prevent infection; proper client identifiers; check infusion rate; do not use a lumen/port that's been used for blood samples/transfusions; observe for adverse affects (allergic response, weight gain greater than 1kg, elevated temperature or sepsis, an elevated blood glucose level, shortness of breath, chest discomfort, anemia, nausea and vomiting, jaundice)