total parentral nutrisi ipd

8/17/2019 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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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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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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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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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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total parentral nutrisi ipd

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