° patient weight.
° lab values.- intake and output.
- catheter insertion site.
° signs of hyperglycemia when therapy is started.
° signs for hypoglycemia after therapy is discontinued. - Change:
° the solution as ordered.
° the tubing per agency policy
° the dressing per agency policy.
Education - Teach the patient:
° signs of complications.
° to report complications.
° the difference between a parenteral nutritional infusion and an intra-
venous infusion.
Evaluation- The patient will not:
° lose body weight.
° develop fluid volume overload.
° develop hyperglycemia.
° develop dehydration.
° develop an infection. - The patient will:
° maintain positive nitrogen balance.
Summary
The body requires nutrients for cell growth, cellular functions, muscle contrac-
tion, wound healing, and other vital activities. Nutrients enter the body as food
and are absorbed as chemical reactions break down food into molecules that
enter the bloodstream where they are distributed throughout the body.
Surgery, trauma, malignancy, and other catabolic illnesses cause a nutritional
imbalance that, if prolonged, can have a dramatic impact on the patient that
could ultimately lead to death.
CHAPTER 11 Nutritional Support Therapies^193