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Total Parenteral Nutrition : Indications

Total parenteral nutrition (TPN) is a method of providing complete nutrient support to patients intravenously. It involves an admixture of proteins, carbohydrates, fats, vitamins, minerals, and water administered through an IV. The goals of TPN are to improve nutrition, maintain muscle mass, support weight gain or maintenance, and aid the healing process. TPN is indicated when a patient is unable to ingest adequate oral intake for over 7 days or absorb nutrients enterally due to conditions like short bowel syndrome, cancer, or burns.

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Liezl Mae Macaraeg
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132 views1 page

Total Parenteral Nutrition : Indications

Total parenteral nutrition (TPN) is a method of providing complete nutrient support to patients intravenously. It involves an admixture of proteins, carbohydrates, fats, vitamins, minerals, and water administered through an IV. The goals of TPN are to improve nutrition, maintain muscle mass, support weight gain or maintenance, and aid the healing process. TPN is indicated when a patient is unable to ingest adequate oral intake for over 7 days or absorb nutrients enterally due to conditions like short bowel syndrome, cancer, or burns.

Uploaded by

Liezl Mae Macaraeg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

TOTAL PARENTERAL NUTRITION

 Method of providing nutrients to the body by an IV route.


 The nutrients are a complex admixture containing proteins, carbohydrates,
fats, electrolytes, vitamins, trace minerals, and sterile water in a single
container.
 The goals of PN are to improve nutritional status, establish a positive nitrogen
balance, maintain muscle mass, promote weight maintenance or gain, and
enhance the healing process.

Indications
 Inability to ingest adequate oral food or fluids within 7 days.
 Enteral nutrition should be considered before parenteral support because it
assists in maintaining gut mucosal integrity and is typically associated with
fewer complications.

INDICATIONS FOR PARENTERAL NUTRITION


Condition/Need Examples
Insufficient oral or enteral intake Severe burns, malnutrition, short
bowel syndrome, AIDS, sepsis,
cancer
Impaired ability to ingest or absorb Paralytic ileus, Crohn’s disease, short
food orally or enterally gut, postradiation enteritis, high-
output enterocutaneous fistula
The patient is unwilling or unable to Major psychiatric illness
ingest adequate nutrients orally or
enterally
Preoperative and postoperative Extensive bowel surgery, acute
nutritional needs are prolonged pancreatitis

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