Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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Enteral: • Placement of access device • Initiate enteral feeding • Pump – overnight feeding • Bolus/Drip Oral • Diet instruction – what to eat and how much
1 – Assess ability to take enteral/oral diet 2 – Decrease PN to 75% of needs 3 – Add EN to make up 25-40% of needs 4 – PN decreases as EN/oral increases 5 - Try decreasing PN and increasing EN by 25% increments or 50/50 PN /EN then 25% PN (or stop) and 75- 100% EN/oral. **Don’t pull that line or tube until you are sure!
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 and 24: COLON PRESENT CHO 50-60% PRO 20%
Page 25: Multi-vitamin and minerals! • Sup
Page 29 and 30: Transition from PN to EN or oral di

Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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