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Parenteral and enteral nutrition - Revision history
2026-06-17T19:30:17Z
Revision history for this page on the wiki
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Docmoates: Add medication infobox (Drugbox) to monographs
2026-06-17T16:09:37Z
<p>Add medication infobox (Drugbox) to monographs</p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:09, 17 June 2026</td>
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<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| therapeutic = Nutritional support</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| pharmacologic = Total parenteral nutrition, enteral formulas, colloid (albumin)</ins></div></td></tr>
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<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| blackbox = None</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| antidote = Adjust the formula; treat complications.</ins></div></td></tr>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''</div></td></tr>
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https://wiki.docmoates.com/index.php?title=Parenteral_and_enteral_nutrition&diff=4565&oldid=prev
Docmoates: NCLEX nursing pharmacology monographs — batch import
2026-06-17T14:06:23Z
<p>NCLEX nursing pharmacology monographs — batch import</p>
<p><b>New page</b></p><div><div style="border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;"><br />
''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''<br />
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'''Parenteral and enteral nutrition''' &mdash; Nutritional support; Total parenteral nutrition, enteral formulas, colloid (albumin).<br />
<br />
== Identification ==<br />
* '''Therapeutic class:''' Nutritional support.<br />
* '''Pharmacologic class:''' Total parenteral nutrition, enteral formulas, colloid (albumin).<br />
<br />
== Pharmacology ==<br />
* '''Mechanism of action:''' Provide calories, protein, electrolytes, vitamins, and trace elements when oral or enteral intake is inadequate; albumin expands plasma volume.<br />
* '''Onset / peak / duration:''' Continuous or scheduled.<br />
* '''Half-life / therapeutic level:''' Not applicable; guided by labs.<br />
<br />
== Clinical use ==<br />
* '''Indications:''' Inability to meet nutritional needs orally (TPN, enteral), hypovolemia and hypoalbuminemia (albumin).<br />
* '''Usual dose, route, frequency:''' TPN via central line continuously; enteral via feeding tube; albumin IV.<br />
* '''Maximum dose / adjustments:''' Advance TPN gradually; taper to prevent rebound hypoglycemia; monitor refeeding risk.<br />
<br />
== Safety ==<br />
* '''Contraindications:''' Per clinical status.<br />
* '''Black box warning:''' None.<br />
* '''Interactions:''' TPN compatibility limited; use a dedicated line.<br />
* '''Pregnancy / lactation:''' Used as needed.<br />
* '''High-alert:''' No.<br />
<br />
== Adverse effects ==<br />
* '''Common side effects:''' Hyperglycemia, electrolyte shifts.<br />
* '''Serious effects to report:''' Refeeding syndrome (low phosphate, potassium, magnesium), central line infection, hyperglycemia, fluid overload (albumin).<br />
* '''Antidote / reversal:''' Adjust the formula; treat complications.<br />
<br />
== Nursing process ==<br />
* '''Assessment before administration:''' Nutritional status, electrolytes, glucose, line placement and patency.<br />
* '''Interventions during therapy:''' Strict aseptic central line care; do not abruptly stop TPN (rebound hypoglycemia); monitor glucose; verify tube placement before enteral feeds.<br />
* '''Monitor:''' Glucose, electrolytes (especially phosphate during refeeding), weight, line site, intake and output.<br />
* '''Evaluation / expected outcome:''' Adequate nutrition without metabolic complications.<br />
<br />
== Patient teaching ==<br />
* '''Patient teaching:''' Report fever or line-site changes; the team monitors labs.<br />
* '''Notify provider if:''' Fever, line-site redness, signs of high or low blood sugar.<br />
* '''Administration tips:''' Dedicated central line for TPN; aseptic technique; do not stop TPN abruptly.<br />
<br />
[[Category:Nutrition]]</div>
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