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Overview What is parenteral nutrition Selection Criteria of parenteral nutrition Parenteral nutrition access Requirements of critically ill patients Refeeding Syndrome Parenteral Nutrition formulations & How to choose Case Study What is Parenteral Nutrition Parenteral nutrition refers to the infusion of intravenous nutrition formula into the bloodstream DAA, 2011 Selection Criteria for Parenteral Nutrition Should be used in patients who are or will become malnourished, and Who do not have sufficient gastrointestinal function to be able to restore / maintain nutritional status McClave et al.,2009 Access of parenteral nutrition Access of parenteral nutrition Central parenteral nutrition (CPN) To large, high blood flow vein (e.g. superior vena cava) For long term parenteral nutrition Central Parenteral Nutrition solution osmolarity can be > 900mOsm/L More suitable for volume-sensitive patients (e.g. patients with heart, renal or liver problem)
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