Archive:Total parenteral nutrition - Revision history

wikademia>Wikademia: moved Total parenteral nutrition to Archive:Total parenteral nutrition

2009-06-12T08:01:17Z

moved Total parenteral nutrition to Archive:Total parenteral nutrition

← Older revision	Revision as of 08:01, 12 June 2009
(No difference)

wikademia>Wikademia at 18:51, 11 April 2009

2009-04-11T18:51:23Z

← Older revision		Revision as of 18:51, 11 April 2009
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	[[Category:Intensive care medicine]]		[[Category:Intensive care medicine]]
	[[Category:Intravenous fluids]]		[[Category:Intravenous fluids]]
			{{ntnes}}

wikademia>Wikademia at 22:13, 10 April 2009

2009-04-10T22:13:20Z

← Older revision		Revision as of 22:13, 10 April 2009
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	[[Category:Intensive care medicine]]		[[Category:Intensive care medicine]]
	[[Category:Intravenous fluids]]		[[Category:Intravenous fluids]]

	~~[[de:Parenterale Ernährung]]~~
	~~[[es:Nutrición parenteral]]~~
	~~[[nl:Parenterale voeding]]~~
	~~[[ja:高カロリー輸液]]~~
	~~[[pl:Żywienie pozajelitowe]]~~
	~~[[pt:Nutrição parenteral]]~~

wikademia>Wikademia: 150 revisions

2009-04-06T20:37:38Z

150 revisions

← Older revision	Revision as of 20:37, 6 April 2009
(No difference)

129.2.170.36: Intermal link added for enteral feeding

2009-03-14T00:24:23Z

Intermal link added for enteral feeding

← Older revision		Revision as of 00:24, 14 March 2009
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	{{Unreferencedsection\|date=October 2007}}		{{Unreferencedsection\|date=October 2007}}

	Total parenteral nutrition (TPN), also referred to as Parenteral nutrition (PN), is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its absorptive capacity is impaired (Kozier et al., 2004). It has been used for [[coma]]tose patients, although enteral feeding is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery or digestive disorder. TPN has extended the life of children born with nonexistent or severely deformed guts. People have survived on parenteral nutrition for more than 35 years, living fully productive lives.		Total parenteral nutrition (TPN), also referred to as Parenteral nutrition (PN), is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its absorptive capacity is impaired (Kozier et al., 2004). It has been used for [[coma]]tose patients, although [[enteral feeding]] is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery or digestive disorder. TPN has extended the life of children born with nonexistent or severely deformed guts. People have survived on parenteral nutrition for more than 35 years, living fully productive lives.

	The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)\|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over one hour, levels off the rate for a few hours, and then ramps it down over a final hour, in order to simulate a normal metabolic response resembling meal time. This should be done over 12 to 14 hours rather than intermittently during the day.		The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)\|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over one hour, levels off the rate for a few hours, and then ramps it down over a final hour, in order to simulate a normal metabolic response resembling meal time. This should be done over 12 to 14 hours rather than intermittently during the day.

wikademia>Stevenfruitsmaak: /* External links */ WP:ELNO

2009-02-05T19:43:21Z

External links: WP:ELNO

← Older revision		Revision as of 19:43, 5 February 2009
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	== External links ==		== External links ==
	*[http://www.oley.org The Oley Foundation provides free information and support to patients on home IV and tube feeding]
	*[http://www.nutritioncare.org American Society for Parenteral and Enteral Nutrition]		*[http://www.nutritioncare.org American Society for Parenteral and Enteral Nutrition]
	*[http://www.heinrick.com/ryan/tpn.cfm TPN/PPN Calculator] by Ryan Heinrick
	*[http://www.childrenshospital.org/newsroom/Site1339/mainpageS1339P1sublevel222.html "Why does prolonged TPN cause liver damage in infants?"], Children's Hospital Boston
	*[http://grey.colorado.edu/shortgut/index.php/TPN-associated_Liver_Disease TPN-associated Liver Disease]
	*[http://blogs.nutrishare.com TPN Blogs] on [http://www.Nutrishare.com Nutrishare] (a Home TPN provider)
	*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a601166.html TPN Drug Information] from MedlinePlus NIH Database		*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a601166.html TPN Drug Information] from MedlinePlus NIH Database
	*[http://www.wenourish.com/healthcare/clin_research.aspx Clinical Case Studies] on [http://www.WeNourish.com WeNourish - Nourish Nutrition Support Program] (provider of home TPN and tube feeding)

	[[Category:Nutrition]]		[[Category:Nutrition]]

wikademia>Oley Foundation: I added a link to the Oley Foundation web site

2009-02-02T14:19:05Z

I added a link to the Oley Foundation web site

← Older revision		Revision as of 14:19, 2 February 2009
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	== External links ==		== External links ==
			*[http://www.oley.org The Oley Foundation provides free information and support to patients on home IV and tube feeding]
	*[http://www.nutritioncare.org American Society for Parenteral and Enteral Nutrition]		*[http://www.nutritioncare.org American Society for Parenteral and Enteral Nutrition]
	*[http://www.heinrick.com/ryan/tpn.cfm TPN/PPN Calculator] by Ryan Heinrick		*[http://www.heinrick.com/ryan/tpn.cfm TPN/PPN Calculator] by Ryan Heinrick

wikademia>Oley Foundation: I added to the first paragraph that TPN is used for patients with digestive disorders. I also added that people have survived on parenteral nutrition for more than 35 years (Sharon Rose).

2009-02-02T14:17:17Z

I added to the first paragraph that TPN is used for patients with digestive disorders. I also added that people have survived on parenteral nutrition for more than 35 years (Sharon Rose).

← Older revision		Revision as of 14:17, 2 February 2009
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	{{Unreferencedsection\|date=October 2007}}		{{Unreferencedsection\|date=October 2007}}

	Total parenteral nutrition (TPN), also referred to as Parenteral nutrition (PN), is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its absorptive capacity is impaired (Kozier et al., 2004). It has been used for [[coma]]tose patients, although enteral feeding is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery. ~~Most controversially,~~ TPN has extended the life ~~of a small number~~ of children born with nonexistent or severely deformed guts. ~~The oldest were eight~~ years ~~old in 2003~~.		Total parenteral nutrition (TPN), also referred to as Parenteral nutrition (PN), is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its absorptive capacity is impaired (Kozier et al., 2004). It has been used for [[coma]]tose patients, although enteral feeding is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery or digestive disorder. TPN has extended the life of children born with nonexistent or severely deformed guts. People have survived on parenteral nutrition for more than 35 years, living fully productive lives.

	The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)\|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over one hour, levels off the rate for a few hours, and then ramps it down over a final hour, in order to simulate a normal metabolic response resembling meal time. This should be done over 12 to 14 hours rather than intermittently during the day.		The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)\|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over one hour, levels off the rate for a few hours, and then ramps it down over a final hour, in order to simulate a normal metabolic response resembling meal time. This should be done over 12 to 14 hours rather than intermittently during the day.
Line 15:		Line 15:
	Battery-powered ambulatory infusion pumps can be used with chronic TPN patients. Usually the pump and a small (100 ml) bag of nutrient (to keep the vein open) are carried in a small bag around the waist or on the shoulder. Outpatient TPN practices are still being refined but have been used for years. Patients can receive the majority of their infusions while they sleep and instill heparin in their catheters when they are done to simulate a more "normal" life style off the pump.		Battery-powered ambulatory infusion pumps can be used with chronic TPN patients. Usually the pump and a small (100 ml) bag of nutrient (to keep the vein open) are carried in a small bag around the waist or on the shoulder. Outpatient TPN practices are still being refined but have been used for years. Patients can receive the majority of their infusions while they sleep and instill heparin in their catheters when they are done to simulate a more "normal" life style off the pump.

	Aside from their dependence on a pump, chronic TPN patients can live quite normal lives.		Aside from their dependence on a pump, chronic TPN patients can live quite normal lives. A non-profit organization, the Oley Foundation, provides free information and programs to better the quality of life for TPN and tube fed patients.

	In most US hospitals, [[clinical pharmacist]]s evaluate the patient's individual data and decide what TPN formula to use.		In most US hospitals, [[clinical pharmacist]]s evaluate the patient's individual data and decide what TPN formula to use.

wikademia>Euchiasmus: clean up, typos fixed: et al → et al. using AWB

2009-02-01T17:04:42Z

clean up, typos fixed: et al → et al. using AWB

← Older revision		Revision as of 17:04, 1 February 2009
Line 7:		Line 7:
	{{Unreferencedsection\|date=October 2007}}		{{Unreferencedsection\|date=October 2007}}

	Total parenteral nutrition (TPN), also referred to as Parenteral nutrition (PN), is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its absorptive capacity is impaired (Kozier et al, 2004). It has been used for [[coma]]tose patients, although enteral feeding is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery. Most controversially, TPN has extended the life of a small number of children born with nonexistent or severely deformed guts. The oldest were eight years old in 2003.		Total parenteral nutrition (TPN), also referred to as Parenteral nutrition (PN), is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity or because its absorptive capacity is impaired (Kozier et al., 2004). It has been used for [[coma]]tose patients, although enteral feeding is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery. Most controversially, TPN has extended the life of a small number of children born with nonexistent or severely deformed guts. The oldest were eight years old in 2003.

	The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)\|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over one hour, levels off the rate for a few hours, and then ramps it down over a final hour, in order to simulate a normal metabolic response resembling meal time. This should be done over 12 to 14 hours rather than intermittently during the day.		The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)\|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over one hour, levels off the rate for a few hours, and then ramps it down over a final hour, in order to simulate a normal metabolic response resembling meal time. This should be done over 12 to 14 hours rather than intermittently during the day.

wikademia>Rphchris: /* General usage */

2009-01-13T17:59:02Z

General usage

← Older revision		Revision as of 17:59, 13 January 2009
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	Aside from their dependence on a pump, chronic TPN patients can live quite normal lives.		Aside from their dependence on a pump, chronic TPN patients can live quite normal lives.

			In most US hospitals, [[clinical pharmacist]]s evaluate the patient's individual data and decide what TPN formula to use.

	==Complications==		==Complications==