Total Parenteral Nutrition Workshop

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Welcome to Total Parenteral Nutrition Workshop Post Activity Assessment

Thank you and congratulations for attending this educational activity. Remember, continuous professional development is key to success and professional excellence.

This test is composed of 5 questions based on the information provided to you during the activity. You will have two attempts to complete this test. The 30 minutes which will allow enough time to search for the correct answers.

You must exceed the passing score (60%) in order to receive your certificate.

Take the survey first

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1 Step 1

Educational Activity Evaluation Form

Dear Participant,

Thank you for attending this educational activity. Remember, true nobility is being superior to your former self. In an attempt to always improve our educational provision at Hamad Medical Corporation, your feedback is very important to us as it will ensure excellent quality and better, well-structured educational activities in the future.

Please make sure to complete the survey.

Title : Total Parenteral Nutrition Workshop

Speaker : Dr. Omar A. Alsoukhni (Speaker), PharmD, BCNSP, Clinical Pharmacy specialist

Dr. SaraHayder Ahmed (Facilitator), BScPharm, PharmD

ClinicalPharmacist, Internal Medicine, Pharmacy Residency Program Coordinator

Please make sure to register your CPE points after the post test. This is important for license renewal. Thank you for participating in this Educational Activity

1.Please select your profession

Hospital PharmacistClinical PharmacistPharmacy Technicain Other

1 – Did the CPE activity meet the following required objectives:

• Apply the proper indications of TPN

• Illustrate the different routes of administrations and proper utilization of each route

• Calculate the dose, volume and osmolarity of parenteral nutrition

• Detect the parenteral nutrition components and their daily requirement

• Construct a treatment plan for a given patient that includes assessment, treatment, recommendations, documentation and evaluation of outcomes

• Detect TPN complications

2 – Do you find the objectives relevant to your scope of practice?

YesNo

Please list all the objectives that were not met or slightly met in the activity?

0 /

3 – Can you clarify your expectations regarding the objective that were not met or slightly met in the activity?

0 /

4- Did this CPE activity cover all what you needed to know about the topic?

If the activity poorly covered or did not cover what you needed to know, please provide us with your educational need:

0 /

5 – Please use the following scale to evaluate the speakers/ instructors/ educators/ presenters

Objectives

Interacted with the participants (questions, discussions, etc…)

Organized

Used appropriate presentation tools (media ,audio/visuals, etc)

Gave the subject in a clear manner

Made you understand the topic more

Gave evidence based information (unbiased)

Provided knowledge that can be used in daily practice

Should be invited back again

If one or more of the speaker qualifications points were fair or poor, please mention why and how to improve?

0 /

6- Please use the following scale to evaluate the different approaches used to deliver the required knowledge

The educational activity was provided in an organized manner

You had a chance to participate with other participants in workgroups discussions

Pre/post tests, exercises, exam etc …. Were related to the topic

Questions in the pre/post tests, exercises ,exam ,etc…were covered by the speaker

You had enough time to finish the pre/post tests, exercises, exam, etc…

There was time for participants questions at the end of the educational session

If one or more of the speaker qualifications points were fair or poor, please mention why and how to improve?

0 /

7 – What did you like most in this educational activity?

0 /

8- Do you have any comments regarding the Venue and /or the timing of the educational activity?

0 /

9- What do you suggest to improve the next CPE-activity?

0 /

10- Additional Comments:

0 /

Time limit: 0

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Question 1 of 13

1. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

What should we do first? (indicated or not)
- Indicated
- Not indicated
Correct

Incorrect
Question 2 of 13

2. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Calculate the total kcal of the TPN:
- 2300 kcal
- 2466 kcal
- 2500 kcal
- 1724 kcal
Correct

Incorrect
Question 3 of 13

3. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Calculate the total osmolarity of the LR’s TPN
- 900 mosmol/L
- 1350 mosmol/L
- 1400 mosmol/L
- None of the above
Correct

Incorrect
Question 4 of 13

4. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Which of the following volumes (of each component to compound this TPN using) is correct
- Dextrose 70%: 514 ml
- Protein: 600 ml
- A & B are correct
- None of the above
Correct

Incorrect
Question 5 of 13

5. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Can this TPN run peripherally?
- Yes
- No
Correct

Incorrect
Question 6 of 13

6. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Calculate the Protein vs non-protein calories
- 1:19
- 1:3
- 1:7
- 1:12
Correct

Incorrect
Question 7 of 13

7. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Calculate the nitrogen content of TPN.
- 23
- 900
- 9.6
- None of the above
Correct

Incorrect
Question 8 of 13

8. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Calculate the glucose Infusion Rate. (mg/kg/min)
- 3.2
- 4.3
- 4.5
- 3.9
Correct

Incorrect
Question 9 of 13

9. Question
- LM is a 27 year male admitted to the ICU s/p multiple gunshot wounds to the abdomen. The patient is 5’10’’ and 97 kg. He will remain NPO for a minimum of 3 weeks anticipating multiple surgeries and bowel repair. The TPN formula is below:
Rate: 100 ml/hr to run over 24 hours

Amino Acids: 60 grams/liter

Dextrose: 150 grams/liter

Lipids 20% 250 ml

Determine the % of calories from lipid, carbohydrate and protein.
- 22%, 53%, 25%
- 25%, 45%, 30%
- 30%, 50%, 20%
- 25%, 50%,25%
Correct

Incorrect
Question 10 of 13

10. Question
SA is a 43 year female with Ovarian Cancer. Her family has read a study that intraperitoneal chemotherapy and TPN can prolong survival by 6 months. They have requested the insurance company to begin TPN in the hospital and continue with a home TPN. Her current height is 170 cm and weight 43 kg

What should we do first? (indicated or not)
- Indicated
- Not Indicate
Correct

Incorrect
Question 11 of 13

11. Question
SA is a 43 year female with Ovarian Cancer. Her family has read a study that intraperitoneal chemotherapy and TPN can prolong survival by 6 months. They have requested the insurance company to begin TPN in the hospital and continue with a home TPN. Her current height is 170 cm and weight 43 kg

What is her dosing weight?
- 63 kg
- 43 kg
- 50 kg
- None of the above
Correct

Incorrect
Question 12 of 13

12. Question
SA is a 43 year female with Ovarian Cancer. Her family has read a study that intraperitoneal chemotherapy and TPN can prolong survival by 6 months. They have requested the insurance company to begin TPN in the hospital and continue with a home TPN. Her current height is 170 cm and weight 43 kg

What are her: Protein needs, kcal needs and fluid needs :
- 2 g/kg
- 1 g/kg
- 1.5 g/kg
- 0.8 g/kg
Correct

Incorrect
Question 13 of 13

13. Question
- SA is a 43 year female with Ovarian Cancer. Her family has read a study that intraperitoneal chemotherapy and TPN can prolong survival by 6 months. They have requested the insurance company to begin TPN in the hospital and continue with a home TPN. Her current height is 170 cm and weight 43 kg
Is she at risk for re-feeding? If so, what modifications would you make to the TPN?
- Yes
- No
Correct

Incorrect