Transitioning from Parenteral Nutrition: Steps to Successes! - NHIA

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T I M I N g GI Tolerance
*based on several cases and not one specific patient case 62 y/o female s/p gastric surgery due <strong>to</strong> obstruction followed by intestinal resection. Fistula developed in hospital. PN started in the hospital – patient sent home on PN after 2 weeks. Currently home on PN for 8 weeks; fistula is now closed Now what?
Page 1 and 2: Carol Ireton-Jones, PhD, RD, LD, CN
Page 3 and 4: Oral Parenteral Enteral Parenteral
Page 5: Enteral nutrition or tube feeding i
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 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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