The Nursing Process and Parenteral Nutritional Therapy - Pharmacology

When administering parenteral nutritional therapy, the nurse should use the following nursing process:

Assessment

  • Assess:
    • vital signs.
    • patient’sweight
    • lab values.
    • patient’s intake and output.

Nursing Diagnoses

  • Risk for:
    • fluid volume excess.
    • fluid volume deficit.
    • infection.
    • respiratory complications.
    • altered nutrition.

Planning

  • Patient will:
    • meet nutritional needs.
    • maintain body weight.
    • maintain fluid volume balance.
  • Patient will not:
    • develop infection at the insertion site or a systemic infection.

Interventions

  • Maintain sepsis when changing the solution and dressing.
  • Weigh the patient each day.
  • Refrigerate the solution until time for use.
  • Do not use the parenteral nutritional line to draw blood, give medication, or check central venous pressure
  • Monitor:
    • vital signs.
    • 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.

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