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Total parenteral nutrition. A brief review
Journal of the American Dietetic Association
|March 1, 1977
Summary
This study examines total parenteral nutrition (TPN) solutions, focusing on nutrient content and fluid/electrolyte balance for optimal patient care. It provides guidelines for essential vitamins and trace elements in TPN formulations.
Area of Science:
- Clinical Nutrition
- Medical Solutions
- Patient Care
Background:
- Total parenteral nutrition (TPN) aims to mimic a balanced oral diet.
- Standard TPN solutions provide approximately 3,000 ml, 12g nitrogen, and 2,400 kcal daily for adults.
- Fluid and electrolyte balance is a critical consideration in TPN therapy.
Purpose of the Study:
- To evaluate the composition of commercially available TPN solutions.
- To provide recommendations for essential vitamins and trace elements in TPN.
- To ensure TPN solutions meet the nutritional needs of patients.
Main Methods:
- Tabulation of the composition of four commercial TPN solutions.
- Review of recommended daily allowances for vitamins and trace elements.
- Analysis of nutrient content relative to patient requirements.
Main Results:
- Detailed composition data for four TPN solutions are presented.
- Specific recommendations for vitamin and trace element supplementation are outlined.
- Variations in TPN solution composition are highlighted.
Conclusions:
- Optimal TPN solutions should mirror a balanced oral diet.
- Careful attention to fluid and electrolyte balance is paramount.
- Standardized recommendations for vitamins and trace elements enhance TPN efficacy.