TPN: Must go through a central line, Dextrose is greater than 10% - WHAT DETERMINES ROUTE, Complete nutrition – calories in dextrose, lipids, essential fatty acids, protein, electrolytes, vitamins and trace elements, PPN: Large peripheral vein , Risk for phlebitis, Dextrose less than 10% - WHAT DETERMINES ROUTE, Lipids and , Interventions / Concerns for Both TPN and PPN: Must have a 10% Dextrose PRN order incase bag is not ready or runs out, High risk for infections, Vitals and labs (TPN is tailored to client’s labs), Glucose checks Q4-Q6 , Dextrose 10% PRN order, Infuse D10 if TPN runs out, Only give via tubing with a filter, Change tubing Q24 hrs, Continuous infusion over 24 hrs., Dedicated line (do not Y-site), Never stop abruptly, Indications for TPN or PPN: Nutrition malabsorption , Hypermetabolic state (BURNS, SHOCK), Chronic malnutrition , NPO > that 5 days,

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