Tuesday, 13 June 2017

Question Of The Day, Gastrointestinal Disorders
Q. A client with inflammatory bowel disease is receiving total parenteral nutrition (TPN). The basic component of the client's TPN solution is most likely to be:

A. An isotonic dextrose solution.
B. A hypertonic dextrose solution.
C. A hypotonic dextrose solution.
D. A colloidal dextrose solution.

Correct Answer: B
Explanation: The TPN solution is usually a hypertonic dextrose solution. The greater the concentration of dextrose in solution, the greater the tonicity. Hypertonic dextrose solutions are used to meet the body's calorie demands in a volume of fluid that will not overload the cardiovascular system. An isotonic dextrose solution (e.g., 5% dextrose in water) or a hypotonic dextrose solution will not provide enough calories to meet metabolic needs. Colloids are plasma expanders and blood products and are not used in TPN.

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