Parenteral nutrition: risks, complications, and management.
Parenteral nutrition is a life-saving modality, but one that also carries risks for potentially life-threatening complications. Comprehensive management of patients receiving parenteral nutrition includes careful selection of candidates, individualizing formulas to meet patients' unique needs, monitoring response to therapy, and implementing strategies designed to avoid complications. Measures to mitigate the risk of central line-associated bloodstream infections are particularly important. As with all complex therapies, a collaborative, multidisciplinary approach promotes optimal outcomes.
Jefferson Interdisciplinary Nutrition Support Service, Department of Nursing, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA. patricia.worthington@jeffersonhospital.org
Patricia H
PH
Worthington
Karen A
KA
Gilbert
D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods; D003299:Cooperative Behavior; D016638:Critical Illness; D003428:Cross Infection / Q000209:etiology* / Q000451:nursing / Q000517:prevention & control; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D006801:Humans; D008107:Liver Diseases / Q000209:etiology; D009752:Nutritional Status; D010288:Parenteral Nutrition / Q000009:adverse effects* / Q000379:methods; D010348:Patient Care Team; D012307:Risk Factors; D014131:Trace Elements; D014481:United States
D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins; D014131:Trace Elements