Unique Plan Description: Discontinue TPN Protocol
Plan Selection Display: Discontinue TPN Protocol
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2023-02-07 12:04:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-02-07 12:04:00
Available at all facilities: Yes

Discontinue TPN Protocol
Medications

Discontinue TPN Protocol NOW
Laboratory
	Glucose POC - RN
		T;N+120, Once, 1 hour after TPN discontinued.
Patient Care
	Discontinue TPN
		T;N, Discontinue TPN protocol.
			Comment: Reduce current TPN rate by 50% x 1 hour, then discontinue. Obtain Glucose POC lab for hypoglycemia 1 hour after discontinuing TPN, sliding scale insulin is discouraged during this time. Contact provider if clarification is needed.
	Discontinue Central Line
		T;N
			Comment: Upon TPN discontinuation
Consults/Follow-up
	Pharmacy Consult - TPN
		T;N, TPN discontinued, evaluate insulin and oral anti-diabetic medications for dose
	Consult Dietitian
		T;N, Regarding: TPN, Dietitian Assess and Treat
			Comment: TPN discontinued, provide nutrition recommendations as needed.

Discontinue TPN Protocol when bag is empty (at 20:
Laboratory
	Glucose POC - RN
		T;2200, Once, 1 hour after TPN discontinued.
Patient Care
	Discontinue TPN
		T;2000, Discontinue TPN protocol.
			Comment: Begin discontinuing TPN bag at 20:00 (decrease rate by 50% x 1 hour, then discontinue). Obtain Glucose POC lab for hypoglycemia 1 hour after discontinuing TPN, sliding scale insulin is discouraged during this time. Contact provider if clarification is needed.20:00 - decrease TPN rate by 50%21:00 - Discontinue TPN22:00 - Glucose POC
	Discontinue Central Line
		T;2100
			Comment: Upon TPN discontinuation
Consults/Follow-up
	Pharmacy Consult - TPN
		T;N, TPN discontinued, evaluate insulin and oral anti-diabetic medications for dose
	Consult Dietitian
		T;N, Regarding: TPN, Dietitian Assess and Treat
			Comment: TPN discontinued, provide nutrition recommendations as needed.

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