Date post: | 07-Jul-2018 |
Category: |
Documents |
Upload: | mohd-azmi-sufis |
View: | 222 times |
Download: | 0 times |
of 50
8/18/2019 Parenteral Nutrition 2
1/50
Parenteral nutrition
8/18/2019 Parenteral Nutrition 2
2/50
Parenteral nutrition
• Parenteral nutrition (PN) isfeeding a person intravenously,
bypassing the usual process ofeating and digestion. The personreceives nutritional formulae that
contain nutrients such as glucose,amino acids, lipids and addedvitamins and dietary minerals.
8/18/2019 Parenteral Nutrition 2
3/50
• called total parenteral nutrition(TPN) or total nutrient admixture
(TNA) hen no signi!cantnutrition is obtained by otherroutes.
8/18/2019 Parenteral Nutrition 2
4/50
• called peripheral parenteral nutrition
(PPN) when administered through vein
access in a limb, rather than through a
central vein.
8/18/2019 Parenteral Nutrition 2
5/50
8/18/2019 Parenteral Nutrition 2
6/50
"istory
• #eveloped in the $%&'s by #r tanley .#udric*, ho as a surgical resident in the+niversity of Pennsylvania, or*ing in the
basic science laboratory of #r onathanhoads, as the !rst to successfully nourishinitially -eagle puppies and subseuentlyneborn babies ith catastrophic
gastrointestinal malignancies./$0 #r #udric*collaborated ith #r 1illmore and #r 2ars tocomplete the or* necessary to ma*e thisnutritional techniue safe and successful.
8/18/2019 Parenteral Nutrition 2
7/50
complication
• -lood clots
• 3hronic 42 access leaves a foreign
body in the vascular system, andblood clots on this 42 line arecommon.#eath can result frompulmonary embolism herein a clot
that starts on the 42 line but brea*so5 goes into the lungs
8/18/2019 Parenteral Nutrition 2
8/50
• 6atty liver and liver failure• 6atty liver is usually a more long
term complication of TPN, though
over a long enough course it is fairlycommon. The pathogenesis is due tousing linoleic acid (an omega7& fatty
acid component of soybean oil) as ama8or source of calories.
8/18/2019 Parenteral Nutrition 2
9/50
8/18/2019 Parenteral Nutrition 2
10/50
• "unger
• -ecause patients are being fedintravenously, the sub8ect does notphysically eat, resulting in intense
hunger pangs. The brain uses signalsfrom the mouth (taste and smell), thestomach9:.4. Tract (fullness) andblood (nutrient levels) to determineconscious feelings of hunger.
8/18/2019 Parenteral Nutrition 2
11/50
• 3holecystitis
• Total parenteral nutrition increasesthe ris* of acute cholecystitis due tocomplete disuse of gastrointestinaltract, hich may result in bile stasisin the gallbladder. ;ther potential
hepatobiliary dysfunctions includesteatosis,steatohepatitis, cholestasis,and cholelithiasis
8/18/2019 Parenteral Nutrition 2
12/50
• :ut atrophy.
• 4nfants ho are sustained on TPNithout food by mouth for prolongedperiods are at ris* for developing gutatrophy
8/18/2019 Parenteral Nutrition 2
13/50
other complication
• Catheter complications include
pneumothorax, accidental arterial
puncture, and catheter-related sepsis.
8/18/2019 Parenteral Nutrition 2
14/50
other complication
•
8/18/2019 Parenteral Nutrition 2
15/50
8/18/2019 Parenteral Nutrition 2
16/50
8/18/2019 Parenteral Nutrition 2
17/50
8/18/2019 Parenteral Nutrition 2
18/50
8/18/2019 Parenteral Nutrition 2
19/50
8/18/2019 Parenteral Nutrition 2
20/50
8/18/2019 Parenteral Nutrition 2
21/50
8/18/2019 Parenteral Nutrition 2
22/50
8/18/2019 Parenteral Nutrition 2
23/50
8/18/2019 Parenteral Nutrition 2
24/50
8/18/2019 Parenteral Nutrition 2
25/50
8/18/2019 Parenteral Nutrition 2
26/50
8/18/2019 Parenteral Nutrition 2
27/50
8/18/2019 Parenteral Nutrition 2
28/50
8/18/2019 Parenteral Nutrition 2
29/50
8/18/2019 Parenteral Nutrition 2
30/50
8/18/2019 Parenteral Nutrition 2
31/50
8/18/2019 Parenteral Nutrition 2
32/50
8/18/2019 Parenteral Nutrition 2
33/50
8/18/2019 Parenteral Nutrition 2
34/50
8/18/2019 Parenteral Nutrition 2
35/50
8/18/2019 Parenteral Nutrition 2
36/50
8/18/2019 Parenteral Nutrition 2
37/50
8/18/2019 Parenteral Nutrition 2
38/50
8/18/2019 Parenteral Nutrition 2
39/50
8/18/2019 Parenteral Nutrition 2
40/50
8/18/2019 Parenteral Nutrition 2
41/50
8/18/2019 Parenteral Nutrition 2
42/50
8/18/2019 Parenteral Nutrition 2
43/50
8/18/2019 Parenteral Nutrition 2
44/50
8/18/2019 Parenteral Nutrition 2
45/50
8/18/2019 Parenteral Nutrition 2
46/50
8/18/2019 Parenteral Nutrition 2
47/50
8/18/2019 Parenteral Nutrition 2
48/50
8/18/2019 Parenteral Nutrition 2
49/50
8/18/2019 Parenteral Nutrition 2
50/50