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This video provides with steps to initiate parenteral nutrition in the acute care setting. It also teaches you which laboratory measurements to monitor once the infusion begins!
You will learn about the importance of confirming the infusion site prior to starting PPN or TPN, the appropriate amount of dextrose to provide at the beginning, and the rationale for monitoring blood glucose levels, electrolytes/minerals, liver function tests, triglycerides, and body weight.
Remember, parenteral nutrition is intravenous nutrition.
Even though it's a life-saving therapy, it does come with some significant risks!
Having a protocol in place to get it started safely is a requirement to providing excellent nutrition care. So is having a monitoring protocol to prevent, minimize, and treat any complications.
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📩 Email me at clinicalnutritionu@gmail.com if you would like to see the resources used to make this video
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🔥 Check out my 5 book recommendations here:
1. Human Metabolism: A Regulatory Approach - amzn.to/3fybubh
2. Krause and Mahan's Food & the Nutrition Care Process - amzn.to/399GoXE
3. AND Pocket Guide to Nutrition Assessment - amzn.to/3wgIYml
4. Being Mortal - amzn.to/3EQXy6t
5. When Breath Becomes Air - amzn.to/3stM6KK
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📚 Chapters for this video:
0:00 How to get a patient started on parenteral nutrition
1:55 Confirming the type of venous access
2:55 The initial dextrose load for parenteral nutrition
4:52 Monitoring blood glucose levels on parenteral nutrition
6:21 Monitoring the basic metabolic panel (BMP) and electrolytes on parenteral nutrition
7:41 Monitoring liver function tests (LFTs) on parenteral nutrition
9:31 Monitoring serum triglycerides on parenteral nutrition
10:50 Monitoring body weight on parenteral nutrition
12:11 Summary of initiation of parenteral nutrition and monitoring techniques
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