Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

More documents

Recommendations

Info

GI anatomy - no swallowing disorder but with SBS - ready to assess tolerance to nutrition PN transition • Diet instruction – what to eat and how much Steps to wean 1. Decrease 1-2 days/week of HPN 2. Evaluate for tolerance, adequacy of oral intake 3. Decrease HPN to 4 days/week 4. Evaluate for tolerance, adequacy Decrease HPN to 2 days/wk or D/C OR 1. Decrease volume or daily HPN Then , decrease days as above Keep fluids available if needed Pull line when transition is assured
COLON PRESENT CHO 50-60% PRO 20% FAT 20-30% Meals 5-6 daily Avoid oxalates Isotonic/hypoosmolar fluids Soluble fiber 5-10 g/day Lactose as tolerated COLON ABSENT CHO 40-50% PRO 20% FAT 30-40% Meals 4-6 daily Oxalates: no restriction Isotonic, high Na fluids Soluble fiber 5-10 g/day Lactose as tolerated Byrne et al. NCP 15:306, 2000 Slide courtesy of L. Matarese, PhD, RD
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 and 18: Partial or full gastrectomy? Gastr
Page 19 and 20: Length - • less than 50 cm with i
Page 21: Nutrition Recommendations based on:
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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?