Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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MNT – • Follow post SBS diet recommendations • Food logging • Assess for adequacy *based on several cases and not one specific patient case If not adequate, initiate EN • Access/moni<strong>to</strong>ring
Multi-vitamin and minerals! • Supplied in EN and PN – for oral diet, consider beginning an oral multivitamin plus adequate calcium and vitamin D Fluids! • Calculate 30-35 ml/kg or 8 glasses of fluid per day! • Appropriate fluids – ORS? Water? Sugar-free beverages? Calorie containing beverages? Moni<strong>to</strong>r….
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 and 22: Nutrition Recommendations based on:
Page 23: COLON PRESENT CHO 50-60% PRO 20%
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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