Total Parenteral Nutrition Demo | Nursing Fundamentals Clinical Skills

#pharmacology #tpn #nursing #nursingskills #skills
Welcome back in this video I will go over a skills demo on how to prepare, spike and prime your TPN and attach your microfilter and more. If your new here welcome my name is Tina Nursing practitioner, Im glad you here, don't forget to subscribe.
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Disclaimer: This content shared is not to aid in the diagnosis of treatment its for educational purposes. I am providing content that is up to date however protocols and management of care may change so it is not free of errors. I do my best to provide accurate information.
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[@summer5516]

Thanks for this video. Simple, straight to the point.

[@caringcasa]

Thank you

[@priyapandey8895]

I have given tpn to a patient with pheripherial iv line as per register of critical care order where patient had dialysis catheter on with dialysis procedure going on once a day ....

[@Harlem55]

Why do we not give TPN via an periphial IV? It would seem that a central line is something we generally would want to avoid given the risks involved.

[@blue_thehusky6288]

Too thick. Need a large vein.

[@Harlem55]

@@blue_thehusky6288 Incorrect. It is because when lipids are given via periphial IV there is a good chance the patient will develop Intravascular Disseminated Coagulation.

[@Korie-qy8zi]

It has to do with the concentration of the TPN solution, as well as the volume needed and infusion rate. There are a lot of macronutrients (proteins, carbs, and fats) and electrolytes (vitamins, minerals) in the TPN solution, which smaller peripheral veins can't handle at a higher volume and infusion rate.

[@amanyrawy7809]

Thank you

[@alan1992A]

What are your thoughts on using a 0.2 micron filter Vs. a 1.2 micron filter for tpn and/or lipids infusion?

[@intjksa]

Wow you’re so great

[@caringcasa]

Appreciate you, thank you!!!

[@samxyh95]

Hi Tina. Is it possible to demonstrate these nursing skills with an actual manikin?

[@caringcasa]

Hi Sam! Absolutely future plans!!! ❤❤

[@RegisterednurseBRA]

perfect

[@nikkip683]

What happens if the TPN is given through an IV?

[@caringcasa]

It has a high osmolarity concentration and can cause phlebitis and damage veins being harmful to the patient. Therefore TPN SHOULD only be infused via a PICC line. Hope this helps- thanks for watching!!! ♥️Nurse Tina

[@nikkip683]

@@caringcasa as a child of ten I was having issues with bowels and eventually weight loss and malnutrition. The doctors finally figured it out after months of excruciating pain. It was cancer. In my intestines with my body creating an Intussusception. But before they could perform surgery my blood was all wrong. I believe I did receive TPN during this time with a normal IV. I remember that it quickly used up every vein. Inevitably I ended up with an IV in my foot! My system got back to some semblance of normalcy so I could survive surgery. I made it through. Went through chemo, radiation and am now a 40 year survivor. No reoccurrence

[@nikkip683]

@@caringcasa Thank you for information. I truly believe my viens never recovered from all this. I’ve been a challenging stick ever since. Starting an IV is almost impossible. Recent surgeries have been positional IV where I can’t move the arm lest it stops. Oh, and I refuse to allow them to start in the hand! Never allowed them to set in hand as child. Even though they all wanted it. I stood my ground.

[@joekirby4707]

How often is blood monitored for tpn needs?

[@caringcasa]

Typically every 12 hours for patients in a hospital setting

[@CristinaSantos-o3b]

How much

[@caringcasa]

Could you clarify your question? Thank you for watching! Tina

[@marie.s9995]

I really thought you would pull the cap off using your mouth like ED nurses would. 🤣

[@caringcasa]

🤣🤣🤣

[@jeswiclintyamit3430]

thank you