sourceofnutrition-新光吴火狮纪念医院.pptVIP

Introduction to TPN 新光吳火獅紀念醫院 內科部 胃腸肝膽科 柯威旭 醫師 Nutrition Support Team Physicians Clinical pharmacists Nurse-Clinicians Dietitians Laboratory research technician Ward nursing staff In SKH:主任,執行秘書,各科醫師,藥劑師,營養師 Source of Nutrition Enteral nutrition Parenteral nutrition Central parenteral nutrition (CPN=TPN) Peripheral parenteral nutrition (PPN) Long-term home parenteral nutrition (HPN) Clinical decision algorithm route of nutrition support PPN High risk of thrombophlebitis Osmolarity: less than 800-900 mOsm/kg Short-term: up to 2 weeks Not the optimal choice for significant malnutrition severe