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Discussion

TPN and NPO

this is a :new nurse: question, but should a pt who is NPO for a procedure have their TPN stopped? From nursing school I just remember NEVER STOP THE TPN, have D5w available to hang if it is stopped. But........of course now that I am out of school 1 yr 4 months later, I am told to do otherwise. (the order for NPO did not specify anything about TPN)

hummm, can anyone clarify this for me??? I thought the whole reason for NPO was so the pt did not aspirate on gastric secrections with anethesia...and tpn goes thru a c-line.

Thanks for your help! :)

Julie

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I've never heard of stopping TPN before a procedure. Could it be b/c of the way it affects labs (either renal/liver, glucose, or electrolytes)? I'd like to know, too.

You're right. NPO means nothing by mouth. TPN and IV fluids may continue to run if a patient is NPO for surgery or a procedure. :)

(Tube feeds via peg on an NPO person should be stopped.)

The only time we stop the TPN is prior to surgery, then we hang fluids with lytes.

Also, generally if one does stop TPN, you have to hang D10 (not D5). TPN has a high sugar content so hanging D10 when you stop TPN will hopefully prevent glycemic problems. Of course, if they're weaning a patient off TPN they just gradually slow down the infusion rate to achieve the same effect.

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