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Nusing NCP Blood Transfusion NCP: Total Parenteral Nutri

This document contains information about several nursing care plans (NCPs). It discusses NCPs for blood transfusions, adverse reactions to blood transfusions, total parenteral nutrition (TPN), central lines for TPN administration, nurse responsibilities for TPN, and peripheral lines. The NCPs identify risks, goals, and interventions related to these clinical areas.

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jamie carpio
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46 views2 pages

Nusing NCP Blood Transfusion NCP: Total Parenteral Nutri

This document contains information about several nursing care plans (NCPs). It discusses NCPs for blood transfusions, adverse reactions to blood transfusions, total parenteral nutrition (TPN), central lines for TPN administration, nurse responsibilities for TPN, and peripheral lines. The NCPs identify risks, goals, and interventions related to these clinical areas.

Uploaded by

jamie carpio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NUSING NCP

BLOOD TRANSFUSION NCP

 Activity intolerance

 Deficient knowledge regarding

 Excess fluid volume

 Decreased cardiac output transfusion

 Ineffective peripheral tissue perfusion

 Deficient fluid volume

BLOOD TRANSFU ADVERSE REACTIONS NCP

 Acute pain
 Anxiety
 Decreased cardiac output
 Excess fluid volume
 Impaired gas exchange
 Hyperthermia

TOTAL PARENTERAL NUTRI

 Deficient fluid volume • Imbalanced nutrition: less than body • Risk for infection
 Excess fluid volume requirements • Risk for unstable blood glucose level

CENTRAL LINE TPN

1. Hand hygience
2. Doctors order check for accuracy
3. Check solution – expiration date, correct additives
4. Clean gloves
5. Prime tubing
6. Regulate
7. Change infusing tubing and filter using strict aseptic technique. Change IV administration sets for CPN
every 24 hours

NUR RESPONSIBILITIES

1. Monitor flow rate hourly


2. Monitor I&O, and stool
3. Weight patient
4. Monitor glucose
5. Inspect CVAD patency: for infection, infiltration, phlebitis
6. Signs of infection: Fever, malaise, chills – ATB
7. Occlusions in CVAD

PERIPHERAL LINE

1. Assess hypertiglyceridemia0 ability to metabolize lipid


2. Select Iv catheter- large ensures efficient flow
3. Check order0 volume, silution, admin time
4. Assess blood glucose for baseline
5. VS beforehand

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