total parentral nutrisi ipd
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Total ParenteralNutrition
Cholina Trisa Siregar, M.Kep.Sp.KMB
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© 2007 Thomson - Wadsworth
Nutrition Support
Enteral Means within or !"
means o# thegastrointestinal tra$t.%
& 'ral
& Known as t(!e#eedings
& )re#erred ro(te i#ha*e ade+(ate #(n$tion
)arenteral& ses the *eins
& )ersons withinade+(ate
#(n$tion
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© 2007 Thomson - Wadsworth
Venous Access
)eripheral )arenteral/(trition ))/1& )eripheral *eins
& Short-term s(pport& )atients with a*erage
n(trient needs no #l(idrestri$tions
& 3eins $an !e damaged
/eed sol(tions (nder400-500 m'sm
Total )arental/(trition T)/1& 6arger, $entral *eins
& 6ong-term s(pport
& )atients with highn(trient needs or #l(idrestri$tions
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What is TPN?
• )arenteral n(trition pro$ess o# s(ppl"ingn(trients *ia the intra*eno(s ro(te – Total parenteral n(trition T)/1 – )eripheral parenteral n(trition ))/1
• T)/ ma" red($e mor!idit" and mortalit"a#ter ma8or s(rger", se*ere !(rns, and head
tra(ma, espe$iall" in patients with sepsis.• T)/ is o#ten (sed in hospital, long term $are,
and s(!-a$(te $are, and in#re+(entl" is (sedin the home $are setting.
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Methode pengkajian nutrisi
9iwa"at !erat !adan, :a8i se$ara s(!8e:ti# Kons(msi o:sigen :alorimetri se$ara
langs(ng, tent(:an :ondisi perna#asanBerat !adan ideal, nilai atropometri, te!al
:(lit
/iali al!(min, trans#erin, preal!(m(in/ilai :eseim!angan nitrogen/ilai #(ngsi im(n
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© 2007 Thomson - Wadsworth
Parenteral Solutions
Contain amino a$ids& ;ll essential pl(s
$om!inations o# non-essential
Contain $ar!oh"drates& .?
:$alories@gram
& 2.A-70 $on$entrations
& D0 onl" #or T)/
Contain lipids& Signi#i$ant so(r$e o#
energ"& D0, 20 sol(tions& '#ten pro*ided dail"
20->0 total :$alories&
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© 2007 Thomson - Wadsworth
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© 2007 Thomson - Wadsworth
Parenteral Solutions
Fl(id& /eed DA00-2A00 m6@da"
#or ad(lts
Contain ele$trol"tes& Sodi(m, potassi(m,
$hloride, $al$i(m,magnesi(m, phosphor(s
& E=pressed inmillie+(i*alents mE+1
Contain *itamins& ;ll water-sol(!le pl(s ;,
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© 2007 Thomson - Wadsworth
Parenteral Solutions
Fl(id& /eed DA00-2A00 m6@da"
#or ad(lts
Contain ele$trol"tes& Sodi(m, potassi(m,
$hloride, $al$i(m,magnesi(m, phosphor(s
& E=pressed inmillie+(i*alents mE+1
Contain *itamins& ;ll water-sol(!le pl(s ;,
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