Indications for use
Situations in which the patient is unable to meet
his/her complete nutritional needs by the enteral route, such as:
a. Patients with inability to absorb nutrients
through the gastrointestinal tract
b. Extended bowel rest
c. Patients undergoing high dose chemotherapy, radiation, and/or bone marrow
transplantation
d. Preoperative bowel rest
e. Severe stress (moderate trauma, 30-50% total BSA burns, neurological
trauma, renal failure)
Clinical situations in which TPN may be of value:
a. Patients NPO for tests greater than 3 days
b. Ventilator patients in respiratory failure
c. Burn patients when enteral nutrition is not possible
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