( Editor's Note : In Part 1 Jan Rayl
described total parental nutrition , when it is indicated and what it consists of.In Part 2 , presented here , she
discusses complications , troubleshooting and patient education of TPN home care patients and their families. ).By Jan Rayl , BSN , RN
...Jan Rayl is a home IV nurse with INOVA-VNA , Alexandria , Va , who has_been specializing in home health for the past 14 years
TableMetabolic ComplicationsHyperglycemiaNot much of a problem with continuous TPN but occurs frequently with cycled TPN.Signs and Symptoms : Blood sugar over 250 mg/dL.Polyuria , polydipsia , polyphagia , fruity breath , confusion , irritability and coma.