How to prepare and administer TPN

[@ELGeffner]

11 minutes later, 11 patient call lights have gone off.

[@kimarnold5263]

This was very helpful, and a simple example of how to use this equipment. Thank you.

[@victorcoker9064]

I honestly like your courage...........

[@stephanieashton616]

Why were there no use of gloves??

[@crisyt8r]

Being an IV tech for a good while now, all I can say is please take extra precautions when handling the syringe and needle. There were multiple times when it could've slipped and caused you injury. So just be careful and make sure the vial and syringe is always stable, esp when you had it on the table and when you were reaching the end of the vial with the needle inside.

[@mathewmatano1174]

nice demonstration.

[@mhomaimask7885]

it's quite good and seem so easy,but how about the exact administration of TPN tubing to the patient, I''ve been searching the net but all I found is the preparation. would you mind sharing it?

[@mrsarmstrong40]

I'm sorry but you are suppose to use a different alcohol prep for each vial not the same one for both!

[@kayresh]

I thought TPN prep has to be done in a clean-room?

[@lindaholder2225]

What size needle are you using

[@nonh8nsk8r]

where I work, we have to be certified to admin TPN. Is that a universal protocol?

[@ladyn9170]

is there a dvd to teach this to a family caregiver?

[@chuckloos103]

+Nakota Anderson Do you feel like a DVD would be helpful?

[@ladyn9170]

+Chuck Loos yes, i would like to train, my son and my neice

[@chuckloos103]

I am the Account Manager for Infusion Solutions. We made these videos to post on our website. I suppose a DVD could be made, but it would be the exact same thing as what is available on-line...happy to do it but want to make sure that you understand the content is identical.

[@ladyn9170]

+Chuck Loos Thank you Mr. Loos it will greatly appreciated. I think it will be helpful for hospitals who are training families that have to take home loved ones who are TPN dependent. You may want to look into that I am an advocate for Larabida Children's Hospital in Chicago. I know a lot of families that need this type of reference. Only one thing I would ask of you is to include the person when prepping to wear latex gloves. Thank you!

[@Yay4Boobs]

Probably using an 18 gauge needle. TPN is really thick.

[@caseystinley8043]

Bubbles are okay?

[@nonh8nsk8r]

small bubbles are dispersed before they get very far. If your pump is sensitive and stops if it detects air in the line, you'll want to prime the bubbles at least past the pump.

[@ginieel]

is it good for body building or incresing muscle mass ??

[@timd484]

I don't see how it would be any better than eating food. The purpose of TPN is to provide nutrients (usually a high calorie and high protein solution) to an individual through their bloodstream. It bypasses the digestive system.

[@ginieel]

+T Dill okay ! N What Abt people havng kidney prblm like low gfr n all .

[@timd484]

That's a good question. I could be wrong but if an individual only had kidney problems, I don't think it would indicate a need for TPN therapy. TPN therapy is generally indicated for individuals because they have a severe gut disfunction or they cannot tolerate enteral feedings. However, someone who is on TPN therapy and has kidney problems, would require extra monitoring from the health care team to prevent hyperglycemia.

[@yoursister5084]

Well, TPN has bad side effects u can only get it at last resort, there's only like 4 people per state that do it, so it's pretty rare

[@ginieel]

+enderwoman028 Awesomeness no but What if ne body wants to tak it in general den ?

[@Quercuspalustris50]

What about those air bubbles in the line?

[@chuckloos103]

Good question! The small air bubbles in the line do not pose a hazard to the patient--research indicates that it takes at least 50 ml of air to pose a serious risk. That would be equivalent to the entire line being full of air. That said, one should not be complacent about air bubbles, and should closely follow the tube priming instructions to minimize or eliminate all bubble in the line if possible.

[@xsxs3012]

why you dont put a gloves ???? big risk of contamination!!!

[@dfcphtmoller2104]

I think she's just giving a quick guide, but I agree ,she should not be showing off that ring and should put on some gloves. Very helpful video nevertheless.

[@ayz123_87]

grabbing the plunger is not correct

[@bigelevesque]

CENTRAL LINE! :DD

[@nonh8nsk8r]

where I work, we have to be certified to admin TPN. Is that a universal protocol?