Dr. Higgins - Parenteral

Which of the following are indications for Parenteral Nutrition?

• impaired absorption or loss of nutrients via GI tract

• mechanical bowel obstruction

• restricted oral intake or bowel rest

• motility disorders

• inability to achieve or maintain enteral access or EN

Peripheral parenteral nutrition is utilized when PN is expected to be

• short term (less than 1 week)

• long term (2-3 weeks)

Peripheral Parenteral Nutrition is the option for mild to moderately stressed patients for whom central access is unavailable or undesirable AND GI tract function is expected to return within 10 to 14 days

• true

• false

What are the pros of Peripheral Parenteral Nutrition?

• lower risk of infections, metabolic and technical complications

• low risk of phlebitis

• low risk of vein damage

What are the true cons of peripheral parenteral nutrition?

• higher risk of infectious, metabolic and technical complications

• high risk of phlebitis

• high risk of vein damage

________________ parenteral nutrition is for short term, ____________ parenteral nutrition is for long term

• peripheral, central

• central, peripheral

What are the disadvantages of Central Parenteral Nutrition?

• Catheter insertion, routine catheter use, and care of access site

• Central venous Catheter access is associated with a greater potential for infection

• high risk of phlebitis

Your patient was previously well nourished. When would you initiate PN?

• after 7 days of oral or EN intake less than 50% of estimated requirements

• initiate after 3-5 days of oral or EN intake less than 50% of estimated requirements

• initiate PN as soon as possible

Your patient was nutritionally at risk. What is the correct time frame for initiating PN in this scenario?

• initiate after 3-5 days of oral or EN intake less than 50% of estimated requirements

• initiate after 7 days of oral or EN intake less than 50% of estimated requirements

• initiate PN as soon as possible

Your patient is severely malnourished. When should you initiate PN?

• as soon as possible

• after 7 days of oral or EN intake less than 50% of estimated requirements

• after 3-5 days of oral or EN intake less than 50% of estimated requirements