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Discontinuing Parenteral Nutrition

 The PN solution is discontinued gradually to allow the patient to adjust


to decreased levels of glucose.
 If the PN solution is abruptly terminated, isotonic dextrose can be
administered for 1 to 2 hours to prevent rebound hypoglycemia.
Specific symptoms of rebound hypoglycemia include weakness,
faintness,sweating, shakiness, feeling cold, confusion, and increased
heart rate.
 Once all IV therapy is completed, the nontunneled central venous
catheter or PICC is removed and an occlusive dressing is applied to the
exit site. Tunneled catheters and implanted ports are removed only by
the physician.

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