Conditions that increase metabolic demands - Infection & burns, TPN TOTAL PARENTERAL NUTRITION - Given via central line, contains complete nutrition needs including including fats. Each bag is tailored to client's daily labs., Risks of TPN - Infection (central line), hypoglycemia (if stopped abruptly), electrolyte imbalances, fluid overload, Nursing Care - TPN - Use central line, Glucose checks Q6, administer D10 if bag runs out, report signs of infection, PPN- Partial parenteral nutrition - Given via peripheral IV, contains a standard mixture of nutrition. lectrolytes and vitamins., Enteral feeding - Tube feeding administered via NG, peg or J-tube. , Risks of enteral Feeding - Overfeeding, aspiration , Nursing Care to Prevent Overfeeding of Enteral Nutiriton - Monitor residual volumes, assess abdomen for firmness,& distention. Hold when laying patient flat. ,

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