title: Total parenteral nutrition: a guide to therapy in the adult.
abstract: Total parenteral nutrition (TPN), often referred to as intravenous hyperalimentation, is a complex technique for parenteral feeding that can be lifesaving. A basic knowledge of the theory behind, indications for, and hazards of TPN can help the practitioner determine which of his patients will benefit from this procedure. In the community hospital, where a skilled hyperalimentation team is not available, TPN can be managed safely by a physician, pharmacist and floor nurse if there is rigid adherence to a strict protocol. This paper presents the basic theory, indications, and contraindications associated with TPN, and details a protocol for administering total parenteral nutrition to the adult, hospitalized patient (Appendices 1, 2).
mesh_terms: D000328:Adult; D002404:Catheterization / Q000009:adverse effects; D004734:Energy Metabolism; D006801:Humans; D007239:Infections / Q000635:transmission; D008903:Minerals; D009584:Nitrogen; D009751:Nutritional Requirements; D010288:Parenteral Nutrition; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D013315:Stress, Psychological; D014815:Vitamins
chemical_list: D008903:Minerals; D014815:Vitamins; D009584:Nitrogen