Chapter 073. Enteral and Parenteral Nutrition (Part 2) Decision-making for the implementation of specialized nutrition support (SNS). CVC, central venous catheter; PICC, peripherally inserted central catheter. (Adapted from previous chapter by Lyn Howard, M[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 4) Although PN was initially relatively expensive, its components are often less expensive than specialty enteral formulas. Percutaneous placement of a central venous catheter into the subclavian or internal jugu[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 13) Diarrhea Enteral feeding often leads to diarrhea, especially if bowel function is compromised by disease or drugs, particularly broad-spectrum antibiotics. Diarrhea may be controlled by the use of a continuou[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 12) Table 73-10 Enteral Formulas Composition Characteristics Clinical Indications STANDARD ENTERAL FORMULA 1. Complete dietary products (+)a a. Caloric density 1 kcal/mL b. Protein ~14% cals, caseinates[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 11) Infectious Infections of the central access catheter rarely occur in the first 72 h. Fever during this period is usually from infection elsewhere or another cause. Fever that develops during PN can be addressed by c[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 9) Complications Mechanical The insertion of a central venous catheter should be performed by trained and experienced personnel using aseptic techniques to limit the major common complications of pneumothorax
Chapter 073. Enteral and Parenteral Nutrition (Part 7) Protein or Amino Acid Requirements Although the recommended dietary allowance for protein is 0.8 g/kg per d, maximal rates of repletion occur with 1.5 g/kg in the malnourished. In the severely catabolic patien[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 6) Energy Requirements Total energy expenditure comprises resting energy expenditure (two-thirds) plus activity energy expenditure (one-third) (Chap. 72). Resting energy expenditure includes the calories necessary fo[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 5) Disease-Specific Nutritional Support SNS is basically a support therapy and is primary therapy only for the treatment or prevention of malnutrition. Certain conditions require modification of nutritiona[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 8) Table 73-6 Parenteral Trace Metal Supplementation for Adultsa Trace Mineral Intake Zinc 2.5–4 mg/d, an additional 10–15 mg/d per L of stool or ileostomy output Copper 0.5–1.5 mg/d, possibility of reten[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 3) Efficacy of SNS in Different Disease States Efficacy studies have shown that malnourished patients undergoing major thoracoabdominal surgery benefit from SNS. Critical illness requiring ICU care including major burns[r]
Chapter 073. Enteral and Parenteral Nutrition (Part 10) Table 73-8 Selected Metabolic Disturbances and Their Correction Disturbance Cause Corrective Action with PN Hyponatremia Increased total body water or decreased total body sodium Decrease free water or increa[r]
Goal: Eat 5 Goal: Eat 5 Goal: Eat 5 Goal: Eat 5 or more or more or more or more servings a day!servings a day!servings a day!servings a day! • Eat a variety all year round. More variety means more protective elements (antioxidants)! • Evidence suggests that non-starchy vegetables such as brocco[r]
For additional resources, see Curriculum Development, Nutrition Education, Nutrition Handouts and Nutrition Promotions in section 10. APPROPRIATENESS OF NUTRITION MATERIALS Policy Recommendations e child care program reviews all nutrition education l[r]
small, round, dark in colour, covered with white hairs. Tradition-ally used by native Americans for flour, now almost exclusivelyfor forage.indigestion Discomfort and distension of the stomach after ameal, also known as dyspepsia, including heartburn. Persistentindigestion may be a symp[r]
As significant racial and ethnic differences persist inthe incidence of childhood obesity [25], interventionprograms should attempt to address these disparities.Non-governmental organizations and governmental taskforces are pushing the Obama administration and theFood and[r]
approach that would modify the use of certain interven-tions, such as bolus or infusion insulin delivery; and5) choice of glycemic limit of for 2- or 3-hourlymeasurements. As a result, this work is quite differentfrom the use of STAR in [45], which uses fixed nutritionrates (nutriti[r]
bệnh nhân đó phải được xác định rõ. Nhu cầu này được dùng làm căn cứ để lựa chọn loại sảnphẩm dinh dưỡng phù hợp cũng như tốc độ hỗ trợ. (Xem chi tiết tại "Nutrition support incritically ill patients: Enteral nutrition" and "Nutrition support in critical[r]
incur unnecessary costs in overspecifying the system.Chapter 2 continues on from the brief introduction provided in Chapter 1 andexplains the design and implementation of an ISO 14001 EMS in greater depth. Thefirst section in this chapter covers the general design principles of an EMS. The fol[r]