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Pamela Clark
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Pamela Clark, CRNI, is a Nurse Supervisor for Accredo, a leader in specialty pharmacy care. She has more than 28 years of experience in infusion therapy and infusion education with both licensed nurses and patients. Her experience spans multiple infusion settings including: acute care, long-term care, home infusion, and ambulatory infusion care. She also has experience in oncology and oncology research.


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Total Parenteral Nutrition in the Adult Patient

An online continuing education course for nurses, medical health care professionals, and other interested individuals.

This instructional course has been designed to provide current conceptual and operational knowledge to the licensed nurse interested in the provision of parenteral nutrition therapy. The understanding and use of TPN has evolved since its entry into mainstream healthcare several decades ago. For both the RN and LPN/LVN involved in providing nutritional support, this course contains current practices for best patient outcomes. This course provides 5 contact hours of continuing education.

State Boards of Nursing have varying positions on the role of the LPN/LVN in the administration of parenteral nutrition. A link to each state board of nursing is listed here. Competency requirements are obtained and maintained through the nurse’s employer, facility or institution.


Upon completion of this course, the participant should be able to:
  1. Identify at least three medical conditions that indicate the use of TPN.
  2. Identify at least three components of TPN.
  3. Demonstrate understanding of TPN administration by recognizing the steps involved in TPN preparation and infusion.
  4. Recognize at least two potential complications of TPN.
  5. State at least four TPN monitoring measurements.


Chapter 1
Indications for Parenteral Nutrition

  • Altered Absorption Capacity
  • GI Disorders Requiring Complete Bowel Rest
  • Intractable Vomiting or Diarrhea
  • Hypermetabolic States
  • Anorexia Nervosa

Chapter 2
  • Maintenance of Normal Body Weight and Protein Status
  • Restoration of Normal Body Weight and Protein Status
  • Maintenance or Restoration of Normal Micronutritional Status

Chapter 3
Normal Nutritional Requirements
  • Protein
  • Carbohydrate
  • Lipid
  • Vitamins
  • Minerals
  • Trace elements

Chapter 4
Nutritional Assessment
  • Anthropometrics
  • Biochemical
  • Clinical
  • Dietary

Chapter 5
Composition of Parenteral Nutrition
  • Dextrose
  • Amino Acids
  • Lipids
  • Water
  • Electrolytes
  • Vitamins
  • Trace Elements
  • Other Additives

Chapter 6
  • Central Venous Access Devices
  • Electronic Infusion Devices
  • TPN and Lipids
  • Preparing the TPN for Infusion
  • Initiating the Infusion

Chapter 7
  • Metabolic Complications
  • Vascular Access Device-Related Complications

Chapter 8
Monitoring and Documentation
  • Vital Signs
  • Glucose
  • Weight
  • Intake and Output
  • Laboratory Values
  • TPN Administration
  • IV Catheter Care

Course Snapshot

Cost: $ 50.00
Contact Hours: 5


After successful completion the licensed nurse: RN, LPN/LVN will receive 5.0 contact hours. Provider approved by the California Board of Registered Nursing, Provider # CEP 15467 and by the Florida Board of Nursing and the Florida Council of Dietetics and Nutrition,CE Broker Tracking # is 20-315844.

LPN and Nurse Practitioner will receive 5 contact hours. Provider approved by the District of Columbia Board of Nursing, CE Broker Tracking # is 20-315844.

This document must be retained by the licensee for a period of four years after the course concludes.
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