肠外营养和肠内营养的护理(国外英文资料).docVIP

肠外营养和肠内营养的护理(国外英文资料) Date: August 26, 2011 Setting: ward room for Cadre Ward Participants: Wang Ping, hang Hua, Zhu Guangping, Wang Jie, Han Longmei, Chen Chong, Zhao Jiajia, Zhou Fanfan, Shan Shan, Wang Qi Yao Jia Fu Runzhi Zhang Yuanqing Chenyu? Host: Wang Heping Speaker: Yang Huiping Learning content: parenteral nutrition and enteral nutrition care Indications for parenteral nutrition 1.? Not a normal diet, such as intestinal fistula, esophageal medical education, education network to collect and gastrointestinal congenital malformation, the small intestine is too short and cancer patients before and after surgery, gastrointestinal reaction during radiotherapy is overweight. 2. severe burns and severe infections. 3., the gastrointestinal tract requires rest or indigestion, such as ulcerative colitis, localized enteritis, and chronic diarrhea. 4. special conditions, such as necrotizing pancreatitis, acute renal failure, liver failure (short bowel syndrome) Contraindications to parenteral nutrition support 1. gastrointestinal function is normal, adapt to enteral nutrition, or 5 days can restore gastrointestinal function. 2. incurable, incurable, coma, or irreversible coma. 3., emergency surgery and nutritional support are not possible before surgery. 4. cardiovascular function or severe metabolic disorder need to be controlled. 1. Parenteral nutrition preparations Glucose? 1.? Glucose is the main energy source of parenteral nutrition. Daily supplementation of more than 100 g significantly reduced protein breakdown;. The disadvantage is: parenteral nutrition (PN) high concentration of glucose injection, stimulation of peripheral vein wall, need to enter through the central vein; the bodys use of glucose limited, 5 mg / (kg - min), excessive, excessive input may cause hyperglycemia, diabetes, even non ketotic coma;. 2. fat emulsions are another important source of energy for PN. 10% of fat emulsion is isotonic, and can be input by peripheral vein.. The maximum amount