You’ve assessed your critically ill patient, and now it’s time to develop your nutrition intervention. In this blog, we’ll review recommendations from the latest version of the Critical Care Guidelines, as outlined by the American Society for Parenteral and Enteral Nutrition (ASPEN) and the Society of Critical Care Medicine (SCCM). Calculating nutritional needs Most likely,… Read more »
Tag: parenteral nutrition
The ultimate nutrition support guide for dietitians
What is nutrition support? Nutrition support includes enteral and parenteral nutrition, known by many clinicians as tube feeding and TPN. Tube feeding is utilized any time the GI tract is function, but an individual cannot safely eat, drink, or meet their nutritional needs by mouth. Dietitians often use enteral nutrition for patients with dysphagia, those… Read more »
Do the new lipid emulsions live up to the hype?
Intravenous lipid emulsions (ILEs) were first introduced in 1961. Back then, the only option was a 100% soybean oil emulsion. But over the past six decades, ILEs have evolved to include less and less soybean oil. In fact, the latest ILEs don’t include any soybean oil at all. So, what’s the scoop on these new… Read more »
Troubleshooting common nutrition support problems
We’ve all been there. You walk into your patient’s room to find the tube feeding infusion is being held…again. What could it be this time? Before you have another conversation about gastric residual volumes (GRV), blood sugars, or diarrhea, arm yourself with the best solutions to help ensure your patients get what they need. Troubleshooting… Read more »
Parenteral nutrition in the NICU
One of the most important goals in the neonatal intensive care unit (NICU) is to support optimal growth, which in turn supports optimal neurodevelopmental outcomes. When enteral nutrition cannot be utilized or fully utilized, parenteral nutrition is required. In the NICU, pare…nteral nutrition is indicated with prematurity, until enteral feedings can be advanced, and in… Read more »
Nutrition-related risks and complications of parenteral nutrition
Parenteral nutrition is considered a high-risk nutrition therapy, as there are many potential complications that may arise when parenteral nutrition is used. The following is an excerpt from an original Dietitians On Demand case study located here Refeeding syndrome Before initiating parenteral nutrition, the patient should be assessed for the risk of developing refeeding syndrome…. Read more »