Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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Length? Function? Ileocecal valve? Enteral formula? Enteral access?
Length – • less than 50 cm with intact colon – peptide based enteral formula (i.e., Vital ® )naso enteric or gastrostomy access → oral diet • less than 100 cm with ileocecal valve and some colon present – peptide based enteral formula – naso enteric or gastrostomy access → oral diet • less than 50 cm without colon – lifelong PN likely • greater than 50 cm with intact colon – peptide based or standard enteral formula – naso enteric or gastrostomy access → oral diet Function – • Pseudoobstruction, Crohn’s disease, malabsorption – peptide based enteral formula – naso enteric or gastrostomy access → oral diet
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 and 12: Intact nutrients Most commonly used
Page 13 and 14: Access Enteral Nutrition Nasogastri
Page 15 and 16: Swallowing • Typically normal dig
Page 17: Partial or full gastrectomy? Gastr
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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