Parenteral

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Special Considerations

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