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PHAR 635 Chapter 6: Total Parenteral Nutrition

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PHAR 635 Chapter 6: Total Parenteral Nutrition

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Questions and Answers

Which of the following is a contraindication for parenteral nutrition?

Unintentional weight loss (correct)

Evidence of malabsorption

Sub-optimally active functional status

History of change in diet pattern

Why was 'Home' PN developed?

To provide easy access to nutrition for patients with small bowel loss

To allow patients to manage their nutrition independently

To reduce costs associated with parenteral nutrition (correct)

To improve patient outcomes

What was the principal source of calories for parenteral feeding developed in the 1960s?

Lipid infusions (correct)

Vitamin and mineral infusions

Protein-based infusions

High concentrations of dextrose and electrolytes

What can lead to hyper metabolism and subsequent malnutrition?

Major surgeries and protein-energy malnutrition Signup and view all the answers

What should be assessed in patients as part of nutrition assessment for parenteral nutrition?

Symptoms of specific nutrient deficiencies Signup and view all the answers

In which clinical situation should parenteral nutrition (PN) be considered for adults?

If energy intake has been inadequate for 7-10 days and enteral feeding is not feasible Signup and view all the answers

What is the caloric contribution of lipid emulsion in a 10% lipid emulsion used in parenteral nutrition?

10 calories/gram Signup and view all the answers

When should parenteral nutrition be considered for premature infants?

When their energy intake is inadequate for 30% of total calories Signup and view all the answers

What is the recommended maximum lipid infusion rate for premature infants in parenteral nutrition?

0.03-0.05g /hr/kg BW Signup and view all the answers

In which setting should PN be considered for neonates regardless of diagnosis?

When enteral feeding is unable to meet energy requirements for growth Signup and view all the answers