Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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Peptide –based • Malabsorption, maldigestion, Impaired gastrointestinal function and/or symptom of GI intolerance • Easily digested forms of carbohydrate, protein and fat • Protein: free amino acid and peptides • Carbohydrate: mono-, di- and oligosaccharides. • Fat: Medium chain triglycerides • Fiber-free, low residue, low fat • Low-lactose Disease Specific • Customized to meet needs of patients with specific diseases. • Diabetes formulas: to help manage blood glucose levels compared to standard products • Unique carbohydrate blend including slowly digesting carbohydrates • Renal formulas: to help minimize complications such as uremia, fluid overload, and elevated serum electrolytes • Energy dense ( 2.0 kcal/ml) to support fluid restrictions • Modified electrolytes and micronutrients
Access Enteral Nutrition Nasogastric nasoduodenal tube Gastrostomy tube Jejunostomy tube nasojejunal tube
Page 1 and 2: Carol Ireton-Jones, PhD, RD, LD, CN
Page 3 and 4: Oral Parenteral Enteral Parenteral
Page 5 and 6: Enteral nutrition or tube feeding i
Page 7 and 8: *based on several cases and not one
Page 9 and 10: Esophagus • Swallowing? • Obstr
Page 11: Intact nutrients Most commonly used
Page 15 and 16: Swallowing • Typically normal dig
Page 17 and 18: Partial or full gastrectomy? Gastr
Page 19 and 20: Length - • less than 50 cm with i
Page 21 and 22: Nutrition Recommendations based on:
Page 23 and 24: COLON PRESENT CHO 50-60% PRO 20%
Page 25 and 26: Multi-vitamin and minerals! • Sup
Page 27 and 28: 1 - Assess ability to take enteral/
Page 29 and 30: Transition from PN to EN or oral di

Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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