During TPN therapy, what should be monitored?

During TPN therapy, what should be monitored?

• A. Hypertension
• B. Excessive thirst
• C. Fever
• D. Diaphoresis

Answer: (D)

Monitoring during total parenteral nutrition focuses on detecting glucose-related issues and other metabolic problems from the IV nutrition. Diaphoresis, or sweating, is a key clinical sign of hypoglycemia. If the TPN infusion is interrupted or the patient’s glucose balance shifts, hypoglycemia can occur, and sweating is often an early warning sign that prompts checking a bedside glucose and adjusting therapy as needed. While fever or hypertension can signal infection or fluid imbalance, they’re not the immediate cue you rely on to catch the most common metabolic complication of TPN. Keeping a close eye on glucose levels and watching for sweating helps prevent dangerous dips in blood sugar and guides timely interventions.

Monitoring during total parenteral nutrition focuses on detecting glucose-related issues and other metabolic problems from the IV nutrition. Diaphoresis, or sweating, is a key clinical sign of hypoglycemia. If the TPN infusion is interrupted or the patient’s glucose balance shifts, hypoglycemia can occur, and sweating is often an early warning sign that prompts checking a bedside glucose and adjusting therapy as needed. While fever or hypertension can signal infection or fluid imbalance, they’re not the immediate cue you rely on to catch the most common metabolic complication of TPN. Keeping a close eye on glucose levels and watching for sweating helps prevent dangerous dips in blood sugar and guides timely interventions.