Summary and conclusion

PN is an effective and potentially lifesaving method of administering nutrition support therapy in patients who cannot receive adequate oral or enteral nutrition, but may be associated with several complications. Enteral nutrition is the preferred route of providing nutrition support therapy. Administration of PN is associated with significant adverse effects, and patients must be monitored closely. Patients receiving PN therapy are at risk for metabolic, infectious, and mechanical complications. Optimal design of a PN regimen is essential to minimize the risk of adverse effects and complications, and patients must be monitored closely while receiving PN in order to optimize outcomes.

Abbreviations Introduced in This Chapter

A. S. P. E. N, American Society ipf Pa rent era 1 a lid Enter a 1 Nutrition

AST Aspartate aminotransferase

ATP Adenosine triphosphate

BEE Basa 1 e ncrgy expenditure

BMI Bod y mas s index

HUD Beyond-use date

CIS: 2n-6 Llnoleic acid

CIS: 3n-3 a-Linolenic acid

C20; 4n-6 Aiachidonic acid

CA PD C ont i mi o u s a mbu latory per ito ne a Id i a lysis

CK RT C ont inuous rena 1 replacemen 11 he ra py

CSP

Compounded sterile preparations

HIT

H eparin-indu├žed thrombocytopenia

IRW

Ideal body weight

IHD

Intermit tenthemodia lysis

LDH

Lactate dehydrogenase

NG

Nasogastric

PICC

Peripherally inserted central venous catheter

PL

Phospholipid (s)

PN

Parenteral nutrition

PPN

Peripheral parenteral nutrition

/

REE

Resting energy expenditure

RMR

Resting metabolic rate

RQ

Respiratory quotient

SGA

Subjective global assessment

TEE

Total energy expenditure

TG

Triglyceride(s)

TNA

Total nutrient admixture

TPN

Total parenteral nutrition

USP 797

United States Pharmacopeia Chapter 797

vo3

Volume of oxygen consumption

vco2

Volume of carbon dioxide production

wwvit

^ Self-assessment questions and answers are available at ht-tp://www. mhpharmacotherapy. com/pp.html.

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