Parenteral Nutrition

A. Indications
· Malnourished Patient—Inadequate intake for > 7 days
Unintentional weight loss > 10% or weight is > 20% below ideal body weight
· Inability to use GI tract—For greater than 7 days
B. Conditions to use Parenteral Nutrition
· Short gut syndrome
· Inflammatory bowel disease
· Fistula >1500 cc output per day
· Obstruction of GI tract
· Acute pancreatitis
· Major gastrointestinal surgery
· Ischemic bowel
C. Contraindications
· Ability to provide adequate energy and nutrients via the enteral or oral route
· Mild or moderate malnourished patient in preoperative period while consuming
· adequate enteral or oral intake
· PPN for > 2 weeks in patients 2nd limited access, osmolality, fluid restrictions, and large
nutrient or electrolyte need
· Unlikely to benefit patients with advanced cancer who have been unresponsive to treatment
D. Advantages
· Provides nutrition when GI tract not functional
· Provides nutrition when access to GI tract not possible
E. Disadvantages
· Risk of infection associated with TPN
· Risk of central line placement
· Metabolic complications
· Sequelae of dormant gut—leads to increased risk for development of infectious complications
F. Guidelines for Use
· Preoperative TPN if patient cannot receive enteral feeds prior to surgery
· Preoperative TPN in severely malnourished surgical patients
· Postoperative TPN when NPO status after surgery for > 5 days with severely
malnourished patients
· Postoperative TPN when NPO status after surgery for >7 days with mild to moderate
malnourished patients

Cancer Awareness Month

Negross Province Activities Schedules

Date Time Activity Venue
January 19 8:00am Motorcade Bacolod City

January 20-22 whole day Exhibit CLMMRMH, RMC, TDH, BOLMSH, BAMC, Robinsons

Caravan

January 23 5:45am assembly Lagoon
6:30am departure
9:30am ETA Cadiz City
10:00am program
11:00am lunch
1:00pm departure to San Carlos
4:00pm program San Carlos City
6:30pm going to tululugan
7:00pm dinner

January 24 7:00am departure for Dumaguete

January 25 7:00am departure for Kabankalan City
10:30am program
2:00pm departure for Bago
3:30pm program

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RaStAMaD_RN

NURSING BOARD EXAM RESULTS FOR NOVEMBER 2008


The much anticipated Nursing Board Exam Results for November 2008 also known as the Nursing Licensure Examination (NLE) Results for November 2008 will soon be posted here. To be updated upon the release of this most awaited board exam results, you may subscribe to us via E-mail.

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