Nursing Interventions to patients in total parenteral nutrition?
1. Monitor fluid and electrolyte balance.- Fluid intake should be adjusted according to the patient's fluid requirements and daily input and output.
- Daily weights should be monitored to assess body fluid status.
2. Monitor nutritional status.
- The patient should be monitored regularly for signs of malnutrition.
- Nutritional parameters should be monitored and evaluated daily.
3. Provide appropriate skin care.
- The skin should be assessed daily for any signs of irritation or infection.
- The catheter insertion site should be kept clean and dry.
- The catheter should be secured appropriately.
4. Provide psychosocial support.
- Offer emotional support to the patient and family members, address any concerns, and provide education and counseling.
- Encourage the patient to talk about their feelings and concerns.
- Provide the patient and family with information about TPN and its management.
5. Administer medications as ordered.
- Patients receiving TPN may also be receiving other medications, such as insulin or antibiotics.
- These medications should be administered according to the doctor's orders.
6. Monitor for complications.
- Complications of TPN include infection, air embolism, thrombosis, and metabolic abnormalities.
- The patient should be monitored for any signs of these complications.