In: Nursing
HGB: 16 HCT: 50 WBC: 8 BUN: 55 CREAT: 2.2 Na: 148 K: 3.2 Glucose: 223 Pre-Albumin: 14 Albumin: 2.8 Total protein: 4.7 INR: 3.2 Theo level: 18
The patient continues to have severe watery diarrhea, particularly after eating. The physician makes him NPO, has a PICC line inserted, and starts him on TPN.
How long can most people tolerate being NPO, with IV fluids, before needing TPN?
Why is that length of time not appropriate for this patient?
What nutrients is he in particular need of?
What complications does his deficiency of those nutrients place him at risk for?
Should he continue to receive his regular IV fluids? Why or why not? 16. What fluid imbalance is he at high risk for and why?
Should his FSBS schedule be adjusted in light of the TPN? Why or why not?