Question

A patient receiving PN has high ileostomy output. Which of the following changes to the PN prescription is most appropriate to recommend?

1: increase sodium and increase fluid volume.
2: decrease water and decrease sodium.
3: increase sodium and decrease protein.
4: decrease sodium and increase fluid volume.

Answer 1

To address high ileostomy output in a patient receiving Parenteral Nutrition (PN), the most appropriate change to the PN prescription is to decrease sodium and increase fluid volume.

Step-by-step explanation:

When a patient receiving Parenteral Nutrition (PN) has high ileostomy output, the most appropriate change to the PN prescription is to decrease sodium and increase fluid volume.

In the case of high ileostomy output, the patient is losing a significant amount of fluid and electrolytes through the ileostomy. Decreasing sodium in the PN prescription helps to decrease fluid losses, as sodium attracts water and contributes to the high output.

Increasing the fluid volume in the PN prescription helps to replace the lost fluids and maintain hydration. This helps prevent dehydration and electrolyte imbalances.

Overall, decreasing sodium and increasing fluid volume in the PN prescription is the most appropriate recommendation to address high ileostomy output in a patient receiving PN.