QOD 069: Adult lab values (pharmacological and parenteral therapies)

A nurse is checking laboratory results for a client with TPN and lipids and notes the following: Sodium: 138 mEq/L Potassium: 4.1 mEq/L Calcium: 10.1 mg/dL Albumin: 5.4 g/dL Triglycerides: 426 mg/dL Alkaline Phosphatase: 100 IU/L Based on these laboratory results, which of the following actions is most appropriate?

• Obtain an order to discontinue the lipid infusion
• Flush the catheter with saline
• Administer a thrombolytic agent as ordered
• Add normal saline solution to the TPN fluid