Total Parenteral Nutrition
Total Parenteral Nutrition is utilized to provide complete nutrition when oral means are not possible due to disease process. It can be a short-term or long-term therapy, depending on diagnosis.
- Patients must have long-term venous access device in place.
- Administered utilizing pump
- Labs ordered by physician based on clinical response. Lab frequency typically decreases as patient becomes less acute.
- First dosing in the home not desirable due to frequent laboratory monitoring required with initiation of TPN
Indications/Candidates for TPN
- Inflammatory Bowel Disease
- Massive Bowel Resection
- Intestinal Obstruction
- Short Bowel Syndrome
- Motility Disorders
- Crohn's Disease
- Ulcerative Colitis
- Enteritis
- Mesenteric Infarction
- Hirschprung's Disease
- Malabsorption Disorders