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13 Cards in this Set
- Front
- Back
Two types of TPN
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Central venous catheter
Peripherally inserted central catheter |
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Central Parenteral Nutrition
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Short Term (PICC)
Long Term (Tunnel Catheters) TOTAL Provide 4000 kcal/day Hypertonic |
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Peripheral Parenteral Nutrition
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Short Term
-Cannot tolerate concentrated solutions -Adjunct Provide 1800 kcal/day Isotonic |
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Carbohydrates (PN)
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3.4 kcal/g
5%, 10%, 20%, 25%, 30%, 40% 25% (D25) = 25 g / 100 ml (250 g / 1000 ml) |
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Carbohydrate goal (mg/kg/min)
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<5 mg/kg/min
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Protein (PN)
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3.5%, 5.5%, 8.5%, 10%, 15%
or 3.5%AA = 3.5g/100ml or 35g/1000 ml |
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Lipid (PN)
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10% = 1.1 kcal/ml
20% = 2.0 kcal/ml 30% = 3.0 kcal/ml ISOTONIC |
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Lipid goal (PN)
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Do not exceed 2.5 g/kg/day
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Transition of Parenteral to Enteral
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2 to 3 days
Stop parenteral when enteral reaches 75% |
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Transition of Parenteral to Oral
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Stop parentearl when oral reaches 75%
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Transition from Enteral to Oral
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Reduce enteral to only night to reestablish hunger cues
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Complications of PN
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Overfeeding, Underfeeding, electrolyte imbalance, hyperglycemia and refeeding syndrome.
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Complications of PN (gastrointestinal)
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cholestasis
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