NUR 2571 Professional Nursing II

PN2 Exam 1

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TPN indications

- malabsorption, hypermetabolic state chronic malnutrition, prolonged NPO

TPN administration

- through central line

(PICC Line)

TPN nursing care

- gradually increase/decrease flow rate

- Change tubing and bag every 24 hours

- use micron filter on tubing

- monitor I&O, daily weights, electrolyte levels, blood glucose (every 4-6 hrs)

- -if unavailable, administer 10% dextrose in water until in arrives

- do not use TPN line for other fluids or meds!

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- Monitor central line insertion site for S&S of infection (erythema, pain, exudate)

Functional incontinence

- the person has bladder control but cannot use the toilet in time

Reflex incontinence

- emptying of the bladder without the sensation of the need to void

Transient incontinence

- temporary or occasional incontinence that is reversed when the cause is treated

Overactive bladder

- occurs when the muscles of the bladder contract involuntarily even though the

bladder is not actually full enough to indicate the need to urinate

Incontinence management

- Bladder or bowel retraining

- Biofeedback

- Timed and prompted voiding

- Use of protective pads

- Skin care

What may complicate incontinence

- diuretics

- surgery

- constipation

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