Index


hypertriglyceridemia, 61–64, 79–80 from intravenous lipid emulsions, 35–36, 61, 63–64, 64b, 69, 75, 79–80


liver disease, 67–68, 68b, 73–75, 75b–77b metabolic. See metabolic disorders in peripheral vascular access, 21, 22 refeeding syndrome. See refeeding syndrome risk for, 3–4, 84, 84b


compounding parenteral nutrition formulas, 46–49 contamination


aluminum in, 44, 81 chromium in, 43 copper in, 81 manganese in, 81, 83b contraindications to home parenteral nutrition, 89, 90b copper, 41, 43 daily requirements for, 42b in liver disease, 76b in long-term parenteral nutrition, 81, 83b monitoring of, 43, 57t, 81, 108b cracking of formula, 48 creaming sign of formula instability, 48


creatinine levels, 57t, 108b critical illness, 4, 8–9 electrolyte levels in, 37 intravenous lipid emulsions in, 35


Crohn’s and Colitis Foundation, 107 Crohn’s disease, 10, 107 cyanocobalamin (vitamin B12), 41b, 108b


cyclic parenteral nutrition, 84b in home, 94–95 reducing risk of liver disease, 68b, 76b, 94


in 2-in-1 preparations, 46, 49b


diabetes mellitus home parenteral nutrition in, 95, 96


hyperglycemia in, 60, 79 insulin therapy in, 60–61


diagnosis, nutrition, 2, 3 dialysis, 9, 33–34 discharge planning, 89, 97, 97b documentation of self- monitoring, 99, 102f–103f


dressings, 28 durable medical equipment, 91, 92 dyspnea, 35, 56, 69


early enteral nutrition, 4 education of patients. See patient education for home parenteral nutrition


egg phospholipids, 34, 35, 69 electrolytes, 36–40 in advancement of parenteral nutrition, 58, 59b in amino acid solutions, 33 daily requirements for, 36, 36b in home parenteral nutrition, 106b imbalance in, 59b monitoring levels of, 37, 57t in osmolarity calculation, 16b in refeeding syndrome, 65, 66b, 80


embolism, air, 23b, 106b encephalopathy, hepatic, 33 enteral nutrition and appropriate use of parenteral nutrition, 5, 7b, 8–9, 10, 11 contraindications to, 11 early, 4 in parenteral nutrition product shortages, 45 patient selection for, 3, 4 perioperative, 9


dehydration, 99, 101b, 106b dextrose, 31–32, 49b and glucose blood levels, 32, 60, 79 and glucose infusion rate, 32, 33b in home parenteral nutrition, 92b, 94, 95


in liver disease, 74b, 75b in long-term parenteral nutrition, 82b and osmolarity calculation, 16b in 3-in-1 preparations, 48, 49b


126


Enterococcus infections, 27 environmental factors in home parenteral nutrition, 98


equipment and supplies in home parenteral nutrition necessity of, 92 provider of, 97b, 97–98 reimbursement for, 91


Escherichia coli infections, 27 essential fatty acid deficiency, 34, 35, 35t, 36, 63, 80 exit site


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