Total Parenteral Nutrition (TPN)

Total Parenteral Nutrition (TPN)




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,What is Total Parenteral Nutrition (TPN)
Hyperalimentation?
 De nitions
 Composition
 Candidats
 Calculation
 Methods of administration
 Monitoring




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,What is Total Parenteral Nutrition (TPN)
Hyperalimentation?
 TPN : is the administration of concentrated glucose
acid solutions via a central or large diameter peripheral vein. & amino
 TPN therapy is necessa when the GI tract
or is not used to meet the Patient nutritional needs. cannot be used
 TPN
10% solutions
protein (inmay
the contain
form of 20%-60%
amino glucose
acids) in and
addition3.5%
to to
various
elements. amounts of electrolytes, vitamins, minerals, & trace
 These
presence solutions
of organ can be
systemmodi ed, depending
impairment and/or on
thethe
speci c
nutritional needs of the Patient.
 To provide
vitamins necessa
(A, D, E, and amounts
K), of fat
intralipids and
are the
often fat soluble
administered
2-3x a week along with TPN (monitor triglyceride levels)
 TPN is often used in hospital, long term care, and
care, but is also frequently used in the home-care setting. subacute

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, What is Total Parenteral Nutrition (TPN)
Hyperalimentation?
TPN or Hyperalimentation
infusion of a is
nutritionally, the IV
complete
formula, including
◦ amino acids (protein/nitrogen)
◦ dextrose (carbohydrate/glucose)
◦ fat emulsions (fatty acids)
◦ vitamins
◦ electrolytes
◦ minerals
◦ trace elements

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