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total parenteral nutrition

Complete nutrition given as a liquid straight into a vein instead of through the digestive tract.

TOH-tul puh-REN-ter-ul noo-TRISH-un noun

Word parts

What it means

A sterile mixture of glucose, amino acids, fats, vitamins and minerals that gives the body everything it needs when the gut cannot be used. Because it is strong, it is usually given through a central line. It is used when a client cannot eat or absorb food for a long time, for example after major bowel surgery or with severe pancreatitis.

For the nurse

Check the blood glucose as ordered, since it can run high; run it on a pump at the set rate and never speed it up to catch up. If a bag runs out, hang 10% dextrose as ordered, because stopping suddenly can drop the blood sugar. The line needs strict aseptic care because it is a route for infection.

At a glance

AbbreviationsTPN; PN (parenteral nutrition)
Spanishnutrición parenteral total
Also writtenTPN

Related terms

enter/o

A word part that means intestine, usually the small intestine.

glucose

A simple sugar that is the body's main source of energy.

infusion

The slow delivery of a fluid or drug into the body, usually into a vein, over a period of time.

parenteral

Given by a route other than the digestive tract, usually by injection or into a vein.

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