Search

Answer 13. The correct answer is b. Collaborate with medical, GI and nutrition team to facilitate completion of diagnostic work-up of feeding intolerance prior to formal HPN consultation. HPN involves intensive collaboration across disciplines and teams in the care of complex patients. The medical...

Patient is a 16 year-old male chronic parenteral nutrition dependence secondary to short bowel syndrome secondary to atresia. Despite several intestinal lengthening procedures at your center, he continues to receive the vast majority of his nutrition intravenously. Family complains that frequent in...

Click here for an article on shortages affecting a HPN patient. Timeline Year Parenteral Nutrition Additive Response 2011 Selenium Multi-trace-5 (MTE-5) : standard dose 0.2 ml/kg/day, which provides: - Zinc: 200 mcg - Copper: 80mcg - Chromium: 0.8mcg - Manganese: 20mcg - Selenium: 4mcg Add Zinc to...

Caregiver flushes the central venous catheter and they feel an unusual amount resistance to flushing. The catheter has the following appearance (see photo below). They call HPN on-call for advice. What is the first thing you should advise family to do? A. Offer reassurance if central line is not...

A family notices there is bleeding at the central line site (see photo below). What is this? A. Tumor B. Bacterial Infection C. Granulation tissue D. Psoriasis E. Pustule Click here for answer Go to previous question Go to next question

Family notices there is bleeding at the central line site (see photo below). What is this? A. Tumor B. Bacterial Infection C. Granulation tissue D. Psoriasis E. Pustule The correct answer is c. Granulation tissue. This is granulation tissue at the exit site. It is made of connective tissue with...

Patient complains of pain and burning during central line dressing changes with chlorhexadine. Central line exit site has the following appearance (see below). What is the proposed treatment plan? A. Use betadine cleanse for central line dressing changes for chemical burn. B. Prescribe IV...

Patient had redness near central line exit site. The central line was inserted 1 year ago. The patient has no fevers or chills. What is the next step? A. Remove suture. B. Remove central line. C. Prescribe broad spectrum antibiotics. D. Prescribe steroids. E. Reassurance The correct answer is a...