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The document is a Total Parenteral Nutrition (TPN) Order Form for a patient, detailing necessary information such as patient demographics, medication orders, macronutrient components, electrolyte specifications, and required additives. It includes instructions for monitoring and adjusting the formula by a clinical pharmacist, as well as guidelines for managing infusion reactions and laboratory tests.

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Who prescribes TPN?

Your doctor may prescribe total parenteral nutrition (TPN) if you have a condition in which your digestive system your stomach, your small intestine or your large intestine cant handle food. TPN lets your digestive system rest while still providing the nutrients and fluid you need.

Do you need a prescription for TPN?

Your physician will prescribe the dose and cycle for you. They will let you know if you may also eat or drink while you get TPN. You will get separate instructions to learn how to care for your central venous catheter. The home infusion supply company will teach you how to use the TPN infusion pump.

How is TPN ordered?

It is ordered by a physician, in consultation with a dietitian, depending on the patients metabolic needs, clinical history, and blood work. The amino acid/dextrose solution is usually in a large volume bag (1,000 to 2,000 ml), and can be standard or custom-made.

Is TPN given through central line?

High osmolarity irritates peripheral veins; hence, TPN is given through central venous access.

How is TPN prescribed?

Method of TPN Administration. TPN involves a formula that is unique to each patient based on weekly lab results. Once a formula is determined by either a doctor or pharmacist, all the components are compounded into a daily infusion bag in which the patient will get infused via a small portable pump.

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What is the order of mixing of TPN?

Whether calcium or phosphate is added initially, the TPN must be thoroughly mixed before the latter is added after all ingredients are in the TPN container. A further recommendation is to pump neutral salts before calcium or phosphate.

What conditions would require TPN?

Conditions for Which We Use Total Parenteral Nutrition An abnormal connection between two organs (fistula) obstruction. Crohns disease (in severe cases) Gastrointestinal cancer. Intestinal failure. Malnutrition. Gastrectomy. Short syndrome.

How do I get TPN?

You will get TPN through a central venous catheter (CVC). A CVC is a thin, flexible tube placed in a large vein near your collarbone. Your nurse will teach you about your CVC when you have it placed. Your TPN is given through your CVC during the night.

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Who prescribes TPN?

Do you need a prescription for TPN?

How is TPN ordered?

Is TPN given through central line?

How is TPN prescribed?

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What is the order of mixing of TPN?

What conditions would require TPN?

How do I get TPN?

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