... Medicine > Part 4. Nutrition > Chapter 73. Enteral
and ParenteralNutrition Therapy
Enteral andParenteralNutrition Therapy: Introduction
The ability to provide specialized nutritional support ... the duration and quality of life. The decision-making process used to decide when
to use SNS is depicted in Fig. 73-1.
Figure 73-1
Chapter 073. Enteraland
Parenteral Nutrition
(Part ...
of inadequate nutritional intake.
Enteral refers to feeding via a tube placed into the gut to deliver liquid
formulas containing all essential nutrients. Parenteral refers to the infusion of...
...
Moderate malnutrition
<16 kg/m
2
Severe malnutrition
<13 kg/m
2
Lethal in males
<11 kg/m
2
Lethal in females
From D Driscoll, B Bistrian: Parenteralandenteralnutrition ... Wilkins, Philadelphia, 2003.
Chapter 073. Enteraland
Parenteral Nutrition
(Part 2)
Decision-making for the implementation of specialized nutrition
support (SNS). CVC, central venous ... timing of nutritional support is based on evaluation of the preexisting
nutritional status, the presence and extent of SRI, and the anticipated clinical
course. SRI is identified by the standard...
... luminal nutrition should be provided, even when PN is required to provide
most of the nutritional support. The combination of some enteral feeding either by
mouth or by enteral tube with parenteral ... Substantial nutritional benefit can be achieved by providing
Chapter 073. Enteraland
Parenteral Nutrition
(Part 3)
Efficacy of SNS in Different Disease States
Efficacy studies have shown that ...
likelihood of PCM of >50% and at least a moderate SRI. Improvements in
morbidity, including infection rates, encephalopathy, liver or renal function, and
~50% of energy needs for periods of up...
... Parenteral
and EnteralNutrition (HPEN)
Therapy
Status, % at 1
year
b
Rehabi
litation
c
Status, % in
Complic
ations
d
per
Patient-Year
Chapter 073. Enteraland
Parenteral Nutrition ...
appropriateness of home PN or EN are that the patient's prognosis is longer than
several months and that the therapy benefits quality of life.
Table 73-2 Summary of Outcomes for Patients on Home Parenteral ...
N
onHPE
N
Home ParenteralNutrition
Cr
ohn's
disease
5
62 6 6 0
2
5 0 8
0
.9
1.
1
Isc
hemic
3
31 9 7 7
4
8 9 3 1
1
.4
1.
1
Home EnteralNutrition
Ne
urologic
disorders
of
swallowi
ng...
... stressed patients, often benefit from fluid and sodium restriction to levels
of 1000 mL of total parenteralnutrition (TPN) formula and 5–20 meq of sodium
per day. In patients with severe chronic ... weight loss
and tissue wasting, TPN must be instituted gradually because of the profound
antinatriuresis, antidiuresis, and intracellular accumulation of potassium,
magnesium, and phosphorus. ... solution of 7% crystalline amino acids (70 g) and 21% dextrose (210 g),
which provides an amount of nitrogen and glucose that is effective at protein-
sparing.
Table 73-3 Enteric Fluid Volumes and...
... parenteral fat
and 500 mL of 20% parenteral fat.
Medium-chain triglycerides, which contain saturated fatty acids with chain
lengths of 6, 8, 10, or 12 carbons, are provided in a number ofenteral ... ingredient in most
parenteral fat emulsions and the majority of the fat in enteral feeding formulas.
These vegetable oil–based emulsions provide essential fatty acids. Enteral feeding
formulas ... permit and definitely during the second
week of SNS. Patients with multiple trauma, closed head injury, and severe burns
weight per h or about 100 g over 12 h—equivalent to 1 L of 10% parenteral...
... and acid-
base balance. Vitamin and trace element requirements are met by the daily
provision of a complete parenteral vitamin supplement and trace elements for PN,
and with the provision of ... adequate amounts ofenteral feeding formulas that
contain these micronutrients.
Table 73-4 Usual Daily Electrolyte Additions to ParenteralNutrition
Electrolyte
Parenteral
Equivalent of RDA
Usual ...
amounts up to 1.5 g/kg as volume, renal, and hepatic tolerances allow. The
standard parenteralandenteral formulas contain protein of high biologic value and
meet the requirements for the eight...
... Government of India is starting a scheme of making available subsidized
sanitary napkins to adolescent girls in the age group of 10-19 years in rural India from
August 2011. As part of promotion of ... napkins will be sold by the
ASHA to girls at a cost of Rs.6 for a pack of six i.e. Rs.1 per piece in the villages.
INDIAN JOURNALOF MATERNAL AND CHILD HEALTH,2011
JUL – SEP;13(3)
6
... Gupta H. Adolescents and menstruation. The Journalof Family Welfare
2001;47(1):1-12.
5. Narayana KA, Srinivasa DK, Petlo PJ. Puberty rituals, reproductive knowledge and
health of adolescent school...
... been done in Ireland, Germany, and Netherland to the
health conscious people. Most of the people in Germany and Netherland said that organic
products can avoid the pesticides and other toxin ... from Department of Food Science and
Technology, Faculty of Agriculture Technology (Bogor Agricultural University), Region
Government of Bogor, Central Government of Bogor, and BRI (Bank Rakyat ...
Consumer Education on The Benefits of Going Organic.
Nur Fathonah Sadek
and Yuananda Parama Oktarani
Department of Food Science and Technology, Faculty of Agricultural Technology, Bogor...
... analysis and
many have been assessed in toxicological and nutritional studies
(Astwood and others 1996; Hammond and others 1996; Brake and
Vlachos 1998; Kaniewski and Thomas 1999; Taylor and others
1999; ... have clear understand-
ing of the introduced genetic changes and how these changes af-
fect the nature and amount of expression products and metabo-
lites. Since the types of nutritionally improved ... and the state of
understanding of plant metabolism is sometimes insufficient to
bridge the gap between the ability to clone, study, and modify in-
dividual genes and proteins and the understanding...