Final answer:
When administering PN to patients at risk for refeeding syndrome, additional nursing considerations include monitoring for electrolyte imbalances, correcting dehydration, and collaborating with the healthcare team.
Step-by-step explanation:
When administering parenteral nutrition (PN) to patients at risk for refeeding syndrome, there are several nursing considerations to keep in mind.
- Monitor for electrolyte imbalances: Refeeding syndrome can cause rapid shifts in electrolyte levels, especially phosphorus, potassium, and magnesium. Regular monitoring is essential to detect imbalances and take appropriate interventions.
- Correction of dehydration: PN administration should include the replacement of fluid losses. Intravenous solutions such as ordinary NaCl or a mixture of isotonic saline and Na lactate can help restore hydration.
- Collaborate with the healthcare team: Refeeding syndrome is a complex condition that requires a multidisciplinary approach. Collaborating with doctors, dieticians, and pharmacists is crucial to ensure safe and effective PN administration.