For the Surgical Patient.ppt

PPN vs. TPN TPN (total parenteral nutrition) High glucose concentration (15%-25% final dextrose concentration) Provides a hyperosmolar formulation (1300-1800 mOsm/L) Must be delivered into a large-diameter vein through central line. PPN (peripheral parenteral nutrition) Similar nutrient components as TPN, but lower concentration (5%-10% final dextrose concentration) Osmolarity 900 mOsm/L (maximum tolerated by a peripheral vein) May be delivered into a peripheral vein Because of lower concentration, large fluid volumes are needed to provide a comparable calorie and protein dose as TPN Parente