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Pamela Clark

Pamela Clark, CRNI, is an infusion nurse with the Houston Methodist Sugar Land Hospital.  She has more than 35 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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Class Accreditation
All states recognize our courses for accredited continuing nursing education, CNE, contact hours. This course is accredited by the following boards:

Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.

Provider approved by the Arkansas, District of Columbia, Florida, Georgia, New Mexico, South Carolina, and West Virginia Boards of Nursing through CE Broker, CE Provider #: 50-13256.  

Course approved by the Florida Council of Dietetics and Nutrition, CE Broker Tracking #20-315844,course provides 5.0 contact hours. CE Provider #: 50-13256.
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Total Parenteral Nutrition in the Adult Patient

Contact Hours: 5
Cost: $50.00
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Total Parenteral Nutrition in the Adult Patient
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states recognize our courses for accredited continuing nursing education, CNE, contact hours.

This instructional course has been designed to provide current conceptual and operational knowledge to nurses and other healthcare providers 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. 

In early 2021, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice, with updated standards of practice relating to the administration of parenteral nutrition.  The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.

State Boards of Nursing have varying positions on the role of the LPN/LVN in the administration of parenteral nutrition. Competency requirements are obtained and maintained through the healthcare provider's employer, facility or institution, with a preceptor. Pedagogy has developed skill check-off lists for all infusion related procedures and these are available in the course, for print out and completion with a preceptor. To view each state's Board of Nursing you may reference the resources section of the website or click here.


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: Goals
  • 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: Administration
  • Central Venous Access Devices
  • Electronic Infusion Devices
  • TPN and Lipids
  • Preparing the TPN for Infusion
  • Initiating the Infusion
Chapter 7: Complications
  • 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
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