Index


catheter-related infections in, 26, 27, 105, 105b central venous catheters in, 17, 18b, 18f, 19b, 20–21, 88, 93, 105, 105b contraindications to, 89, 90b environmental factors in, 98 fluid balance in, 94, 95, 99, 101b, 109 follow-up appointments in, 110b, 110–111 formulas in, 93–94 glucose levels in, 94, 95–96, 96t, 101, 104b, 106b, 108b indications for, 10, 89, 89b infusion schedule in, 94–95, 109 liver disease in, 94 long-term complications in, 111 medications in, 94 metabolic complications in, 77, 101, 104b, 111 monitoring of, 96, 99–111 multidisciplinary team in, 87–89 nonadherence to, 101 patient education for. See patient education for home parenteral nutrition patient selection for, 87–89 psychosocial factors in, 10, 89, 90b, 109 quality of life in, 109 reimbursement for. See reimbursement for home parenteral nutrition supplies and equipment for, 91, 92, 97b, 97–98 support groups in, 107 withdrawal decision in, 111


hydration status. See fluid balance hydrothorax, 22b hyperbilirubinemia, 67–68, 74, 81 hypercalcemia, 78b hypercalciuria, 78b hyperglycemia, 32, 60–61 advancing parenteral nutrition in, 59b in home parenteral nutrition, 95, 96, 96t, 104b initiation of parenteral nutrition in, 8b insulin therapy in, 60–61, 62b, 79 in long-term parenteral nutrition, 79 signs and symptoms in, 104b


hyperkalemia, 101, 104b hypermanganesemia, 43 hypernatremia, 8b, 37, 38


128


hyperosmolar fluids in central venous access, 14, 15, 17 complications of, 13, 17, 21


hypertriglyceridemia, 35, 61–64 from intravenous lipid emulsions, 61, 63 in long-term parenteral nutrition, 79–80 risk factors for, 61, 63b


hypocalcemia, 101, 104b hypoglycemia, 79 in home parenteral nutrition, 95, 96, 96t, 104b signs and symptoms of, 104b, 106b


hypokalemia in home parenteral nutrition, 101, 104b and hypomagnesemia, 121b initiation of parenteral nutrition in, 8b


in refeeding syndrome, 65 repletion guidelines in, 120t, 121b signs and symptoms in, 104b, 121b


hypomagnesemia in home parenteral nutrition, 101, 104b and hypokalemia, 121b initiation of parenteral nutrition in, 8b


in refeeding syndrome, 65 repletion guidelines in, 116t, 117b, 121b signs and symptoms in, 104b, 117b


hyponatremia, 38 hypophosphatemia in home parenteral nutrition, 101, 104b initiation of parenteral nutrition in, 8b


in refeeding syndrome, 65 repletion guidelines in, 118t, 119b signs and symptoms in, 104b, 119b


implanted ports, 20–21 advantages and disadvantages of, 19b in home parenteral nutrition, 18f, 19b, 20–21, 93 indications for parenteral nutrition, 1, 5–11


in contraindications to enteral nutrition, 11 in home, 10, 89, 89b


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