Question

Discuss the Nursing care plan of a patient on Total Parentral Nutrition.

28 Feb 2022
Answer :
Word Count : 1832

The major goals for the patient undergoing total parental nutrition may include improvement of nutritional status, maintaining fluid balance, and absence of complications.

Here are four (4) total parenteral nutrition nursing care plans (NCP) and nursing diagnosis: 

  • Nursing Care Plans
    • Imbalanced Nutrition: Less Than Body Requirements
    • Risk for Excess Fluid Volume
    • Risk for Deficient Fluid Volume
    • Risk for Altered Body Composition

Imbalanced Nutrition: Less Than Body Requirements

  • Imbalanced Nutrition: Less Than Body Requirements

May be related to

  • GI tract function alterations
  • Lengthy NPO status
  • Increased metabolic rate or other conditions necessitating increased intake such as burns, infections, chemotherapy
  • Refusal to eat due to psychological reasons

Possibly evidenced by

  • Reduced muscle mass
  • Reduced total protein, transferrin, and serum albumin levels
  • Electrolyte imbalances
  • Poor skin turgor
  • Poor wound healing
  • Weight loss below 20% ideal

Desired Outcomes

  • Client will achieve an adequate nutritional status, as evidenced by stable weight or weight gain and by improved albumin levels.
Nursing Interventions Rationale
Assess skin integrity and wound healing. Skin integrity changes and wound healing are used as parameters in monitoring the effectiveness of TPN feeding.
Measure intake and output accurately; Monitor weight daily; Monitor calorie counts, including calories provided by TPN. TPN composition is based on the calculated nutritional needs of the client. Before the therapy is started, a thorough baseline assessment will be completed by health care members which include physicians, nurses, dieticians, and pharmacists is done. Changes in fluid balance, weight, and caloric intake are used to assess TPN effectiveness. Daily weights are done to determine if nutritional goals are being met. Weight is also used to assess fluid volume status. Weight gain of more than 1/2 pound per day may indicate fluid retention.
Assist with the insertion and maintenance of central venous or peripherally inserted central catheters (PICC). Since the osmolality of TPN solution is high, it is administered into the vascular system using a catheter inserted into a central vein with a high-volume blood flow. The tip of the catheter is usually placed in the _________ _____ _________ _________ _____ _______ _______ ______ _______ _____ _______ _______.
___ ______ _________ _________ _____ __________ ____ __________ _________ _______.
___ _______ __________ ________ ______ ___ _____ ___ ________ ______.
_______ _____ ______ _____ ______ ____.
____ __________ _____ __________ ______.
___ __________ _______ ______ __________ ____ ___.
_______ __________ ___ ___ ______ ______ ______ ________.
_______ __________ ____ _________ _______.
______ _______ ___ ________ ____ _________ ________ _____ ___.
_____ ______ __________ ____ __________ ______ ___ _________ ___ _____ ____.
________ ____ ____ _________ ______ ______ ______ ______.
_________ _______ __________ ___ ______.
________ _________ __________ ________ __________.
___ _______ _______ _________ _____ _____ ___.
__________ ________ __________ _________ ______ _____.
______ ________ __________ ____ ____ _______.
______ _________ ___ _________ _________ __________ _________ _______.
________ __________ ________ ________ _______ ________ _____ ___ ______ ___ ___ _______.
________ ___ ________ ___ ______ __________ _________.
______ _________ ______ _____ _______ ________ ____ ____ _____.
______ _________ _______ ___ __________ ___ ______ _____ _______ ___ __________.
_____ ____ ____ _________ ________ _________ ___ _____ ________.
______ __________ _____ ______ __________ ___.
______ _______ ______ _____ ____ ____.
____ _________ _____ ________ ____ _________.
____ _____ ___ _________ ____ _____ ______ ___.
________ ________ ________ ________ ____.
________ _____ ____ ______ ______ ___ ___ ___ ____ __________ ___ __________.
___ __________ _______ __________ _______ ______ ______.
____ ____ _____ ______ _________ ____ ______ ______ _____.
_________ ______ ____ ____ ____.
____ ____ _____ ____ ____ __________ _____ ___ ______ ____.
___ __________ ____ ________ ___.
__________ _____ _____ _____ ___ _____ _________ _________ _______ _______.
_____ _________ ________ ______ ____ ________.
________ ______ _______ _______ ___ _____.
_______ _______ _________ ________ __________ ____ _______ ______ _____ ____ ___ _____.
__________ ___ ______ _____ _______ ______ ___ _______ _______.
_____ ___ ______ ___ ____ __________ _______ _____ __________ ________ ____ ____.
_________ _____ _______ ______ __________ ______ _________.
____ ________ ____ ______ ____ ___ _________ _____ _______ ____ _________.
___ ______ ____ _____ ___ ________.
_____ _________ ______ ________ _____.
_______ _____ __________ _____ ___ __________ _______ _______ ___ _______ ____ ________.
_______ _______ ____ _______ ______ ________ ______ _________ _____ ____.
__________ __________ ___ ___ __________ ________ ____ _________ ______ __________ __________.
____ _______ _________ _____ __________ __________ _________ _________ __________.
_________ ________ __________ ______ ______ __________ _____ __________ _________ _________.
____ __________ ___ ________ _________ _______ ___ ____ ___.
____ ___ _____ _______ __________ ___ _______ _________ ______ ___ ________.
___ _____ __________ ___ ________ ____ ________ _____ _______ ______ _________.
_________ ____ __________ _______ ___ _____ __________.
________ ________ _____ ________ _____ _________ _________.
__________ ________ __________ ___ ______ __________ ______ _____ ____ ________ ______ ________.
___ ____ ___ _________ ________ _______ ____ __________ ___.
______ _______ __________ ___ ____ ____ _____ ________.
___ ____ _____ _______ _________ __________ ________.
______ _____ ______ ________ __________ _______ _________ _______ ________ _____ _______.
______ ________ ___ ____ ____ __________.
____ __________ _________ ____ ______ _____ ______ ___ _______ ________ _______.
____ ____ _____ ________ _________ _________ ___ _________ _______ ______.
____ ____ _________ __________ _______ __________ _________ ____ ______.
__________ ______ _____ ____ __________ _____ ________ ________ _______ _____ __________ _______.
________ _____ _____ _____ ______ _____.
_________ ________ ________ ______ ________ ________ _____.
____ _________ __________ ________ ____ _____ _________ ____ _________ ___.
_________ ___ ________ _________ _____ _____.
___ _________ _____ __________ ____ ______ _______ ______.
_____ _________ ____ _____ ____ ____.
_______ _______ _______ ____ ___ ________ ________ ______ __________ ___.
_________ _____ __________ _____ ______ _____ ___ _______ ______.
__________ _____ ________ ______ _________ _____ __________.
____ ___ ________ _____ _______ __________.
______ ________ ________ __________ _____ ____.
___ ____ __________ _________ _____.
______ _____ _______ _____ ___ _______ ______ ______ _________ _______ __________ _________.
_______ _______ ____ _______ _________ ______ _________ ___ __________ __________ _________.
_____ ____ _______ ________ _______.
_____ _____ ___ _____ ________ ________ ________.
____ ______ _________ ______ __________ __________ ________ _________ ___ _____ _________.
_____ _________ ____ _________ _________ ___ ______ ____ _________ _______ ______ ___.
______ _______ __________ ____ _____ _____ ________ ______ ________ _____.
_____ __________ __________ ________ _________ _________ _______ ___ ________ _____.
_______ ________ ________ ________ ________ ________ ______.
_________ _______ _________ ______ __________ _________ ___ _______ ________ __________ ____.
_____ _____ _______ _____ ____ _________ _______ ___ _____ _____ _________ ________.
_______ _________ ________ ______ ___ _______ _______ __________ ____.
_________ _____ ______ _______ ____ ______ ______ _____.
____ ________ ___ ________ _____.
______ ______ _________ __________ ______ ____ _________ __________.
___ _________ ______ ________ ________ _____ __________ ____ _________ ______ _____.
_______ _____ ___ ___ _________ ____ ___ ________ _____.
________ _________ _____ ___ ____ ______ ____ ___.
__________ ______ _______ ____ ___ _____ ____ _______ _________ _____.
_____ _________ ______ __________ ____ _________ _________.
___ ______ ____ ________ ___ ____ _________ ___ ________ _____ ______ ___.
___ ________ _____ _____ ________ ____.
_________ _________ _____ ________ ____ _____.
________ ____ ______ __________ _______ ____ _______.
_____ ________ ________ ________ ___ ________ _____ ___ ________ ______ ___.
______ ____ ______ __________ _________ _______ _____ __________ _______.
___ ____ __________ ____ ____ ______ _______ _____ ____ ________ ____ _______.
______ ___ ________ ____ __________ __________ ___ ____ ________ __________.
______ _________ __________ ____ ___ __________ _____ ___ __________ __________ _____ _____.
________ ____ __________ ________ __________ ______ ______.
____ ___ ______ _______ ________ ___.
__________ ___ _____ ___ ____ ________ ________ _________ ____ _______.
_____ ________ __________ ____ ____ _____ ___ ______ _______ _______ ________.
_______ ___ ___ ____ ___ _________.
________ _____ _____ __________ ______ ____ _______.
________ ____ __________ _______ ______ _______.
______ _________ _______ ___ _________ _____ ____ __________.
___ _______ ____ ________ ____ _______ ________ ______.
___ ____ _______ _________ ____.
______ _____ ______ _____ ________ ________.
________ __________ ___ _________ ______.
_____ ___ ________ ___ ___.
________ _____ _____ _____ _____ ___ ________ _______ ___ ___ _________ ___.
__________ ____ _______ ___ ______ ___ ________ _________ _____.
_____ _____ ________ _____ ___ ________ ___ _______ ____.
___ _______ ______ _________ _______ ____ __________ _________.
______ ______ _________ __________ ________ ______ ___.
________ ______ ________ _________ _______ ______ _______.
_________ _____ ____ ___ ___ ________ ___ _______ ___ __________.
_________ __________ ______ ________ ________ ________ ______ _________ _________ _______ ____.
___ ___ ___ _______ _________.
_______ _____ ______ _______ _____ ______ ___.
_______ __________ ________ ___ _____ ____ ______ ______ ______.
______ _____ _________ _____ _________ ___ _____ __________ ________ ______ _______ ________.
_________ ___ ______ _______ _________ _____ _____.
__________ ___ __________ _________ __________ _________ ___ ___ ______ ___ ____ _______.
_______ _______ _________ ____ _____ _______.
____ __________ ___ ___ ______ ___ _____.
_____ ______ ____ _______ ______ __________ ______ ________ ______ ___ _____.
______ _____ ________ ____ ________ _________ ___ _____ _______ __________ ____ ________.
__________ __________ ___ ______ ______ ______.
___ ___ _______ ___ __________ _____ _______ __________ ____.
____ _____ ____ ______ _______ ________ _______.
___ ______ _____ __________ __________ _________ _____ _________ _________ ______.
_________ ______ __________ _______ __________ ___ _____ ______.
_____ ____ ______ __________ _____ ___ _____ ________ _________ __________.
________ ______ _______ ___ ____.
_______ ______ ______ ___ _____ ____ ___ _____ __________ ___.
___ _____ ______ __________ _________ ________ __________ __________ ___ ______.
____ ________ ___ _______ ___ _________ ________ _________ ____.
___ ____ _________ ________ ________ ________ ____ __________ _______ ______.
___ __________ ___ ____ ____ ______ ______ _____ ___ _____.
___ ________ ____ _________ _______ _____ ________ __________.
_________ _____ ____ ___ ___ _______ __________ ____ _______ __________ __________ _________.
_____ __________ ________ ________ ____ _________ ___ _________ __________ _______ ______.
_________ ___ ________ _______ _____ ______.
_________ __________ __________ ______ __________ ___ ________ ______ ___.
_____ _________ ____ _________ ________ ___ _________ __________ ______.
_________ ______ _________ ____ __________ _________.
_________ _______ __________ ________ _____ ___.
_______ ______ ______ _______ ____ ______ ______ _____ _________.
_________ _________ _____ ____ ___.
_____ ___ ___ __________ ____ __________.
______ ______ _________ ___ _________ __________ __________.
_________ _______ _________ ______ _________ ________ ________ ______ _____ __________ __________ ________.
______ _____ ___ ______ _______ ________.
_________ ____ ______ ___ ________.
_______ _____ _______ _______ ______ __________ ___ _______.
____ ______ _____ ______ ________ __________ ________.
___ _________ ______ _________ ____ _____ ______.
______ _____ __________ _______ ______.
________ ______ __________ __________ ____ ___.
_________ __________ ______ ______ ____ ______ ___ ______ ________ ________ ______ ___.
_____ _____ ________ _____ ____ ______ _______ ____ ______.
___ ___ ____ ______ ___ __________ ________ ____ _______.
________ _____ _______ ___ _________ ___ _________ ______ ________ ___ _________ ___.
______ _________ ____ ___ __________ _____.
____ _____ ___ ______ _______ _______ ______ ____ ________ ________ ______.
______ _________ ___ _______ _______ ______ ______ ____ _______ ___ _______.
_______ _____ ______ _________ _____ _________.
Get Full Answer on WhatsApp
Related Questions

Describe the physiological response to stress.

Describe the process of clinical teaching.

List the points to be remembered when placing catheter in Total Parentral Nutrition

Discuss the case study and nursing rounds method in detail with examples.

Explain the role of nurse in maintaining biologically safe environment

Enumerate the characteristics of good research report.

Describe the roles and responsibilities of a supervisor.

IGNOU Solved Assignments Assignments Ignou Projects Project Previous Year Solved Exam Papers Notes Notes Sample Question Papers Sample Question Papers
Login Cart
IGNOU NEWS
Assignment Submission Last Date Extended Till 30 June 2026 Click Here★★★IGNOU June 2026 TEE Date Sheet Released Click Here★★★
Top