pn delivered powerpoint ppt presentation
Post on 31-Dec-2015
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PN delivered<10 days?
1) Provide hypocaloric PN.
2) Withhold IV lipids high
In soybean oil .
(unless pt malnourished)
1) Provide required energy level.
2) Provide IV lipids.
All strategies to maximize EN ruled out? (i.e. acceptable gastric residual volume threshold 250 ml; prokinetics; small bowel feeding).
Implement strategies; increase EN to goal rate as per ‘Enteral Nutrition Feeding Guideline’.
Provide EN at 10-25 ml/hr if possible. Provide IV glutamine. If IV N/A consider enteral glutamine (0.25 gm/kg/day - 0.5 gm/kg/day mixed in 50 ml saline;delivered in divided doses).
PARENTERAL NUTRITION (PN) GUIDELINES.
Yes No
YesNo
Formatted by: J. Greenwood, RD (Vancouver General Hospital) in collaboration with the CCCCPGC (21/7/03).
In surgical critically ill patients intensive insulin therapy to tightly control blood sugars between 4.4 - 6.1 should be considered.
www.criticalcarenutrition.com
Evidence-based recommendation. All other recommendations opinion-based.
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