Abstract

A REVIEW ON NUTRITION INCLUDING TOTAL PARENTERAL NUTRITION

Rutuja D. Sonone*, Priyanka D. Jiwane, Prof. Vishnudas K. Lokhande, Dr. Rahul S. Bijwar and Dr. Laxmikant N. Barde

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Abstract

Total parenteral nutrition is a lifesaving therapy for the patient with chronic gastrointestinal failure being an effective method for suppling energy and nutrient when oral or internal feeding is impossible or contraindicated. Total parenteral nutrition (TPN) may lead to concerning kidney outcomes with long term administration. TPN should only been used when internal feeding is completely contraindicated or cannot sufficiently address nutrient in take goals due to secondary issue such as anorexia. Total parental nutrition by identifying the main complication present by patient who underwent this therapy and describe the main nursing care for the patient. TPN is given through I.V route. Parenteral means outside of the digestive tract. TPN may be administered as peripheral parenteral nutrition (PPN) or via a central line, depending on the components and osmolality. Patients who previously had no options to sustain their lives are now able to live at home, maintain employment, and continue with most daily activities. Although this therapy has been innovative and successful, it requires great financial and professional resources. Parenteral nutrition can be given for long periods of time. A large variety of complications can occur, related especially to the equipment or the nutrients. When the nutrition is given via a central venous catheter, then sepsis is a serious and possibly lifethreatening complication. In case of administration via an arteriovenous shunt, thrombosis of the shunt is the most frequent problem. The administration of total parenteral nutrition involve simple action the nurse must be assume her role with in the team ensuring optimum performance instruction and training to promote and effective service to the patient.

Keywords: Nutrition, Feeding, Kidney, Anorexia , Osmolality, Financial, Sepsis.