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WhenTPN Is Indicated
WhenTPN Is Indicated
WhenTPN Is Indicated
TOTAL parenteral nutrition is the aseptic lumen should be used for administration
Amultidisciplinary delivery of nutrients into the circulatory ofTPN.
approach to the system via a central venous catheter or the
peripheral veins.TPN is used when the gut
Nutritional assessment
Prior to commencement of TPN the
management of is not functioning and there are several patient's nutritional requirements are
indications that may suggest its use fsee assessed. Energy and nitrogen require-
patients receiving TPN Table 1). ments can vary, depending on age, sex,
Access routes and duration body composition, clinical status and
is recommended to Establishing and maintaining suitable activity.
reduce complications, access to the circulation is essential for the
successful management of TPN. The route
A baseline biochemical assessment
should identify any abnormal plasma
writes Deirdre used is dependent on the anticipated electrolyte levels, liver function tests, renal
duration of feeding and the osmolarity of function tests, glucose levels or lipid
McCormack the solution. screen.
Central vein cannulation is the most Nutritional requirements
commonly used route, however peripheral Fluid
feeding is an acceptable alternative for TPN may be the sole source of fluid or
short-term feeding. A single dedicated used in combination with other sources
Table 1
Table 2