One is not the indication of total parenteral nutrition –
Correct Answer: Chronic liver disease
Description: Parenteral nutrition involves the continuous infusion of a hyperosmolar solution containing carbohydrates, proteins, fat and other necessary nutrients through an indwelling catheter inserted into (usually) the superior vena cava.
Indications for Total parenteral Nutrition
The principal indications for parenteral nutrition are found in seriously ill patients when use of the gastrointestinal tract for feeding is not possible. In some instances intravenous nutrition may be used to supplement inadequate oral intake.
(A)As primary therapy
1. Gastrointestinal cutaneous fistula including enteroenteric, enterocolic, enterovesical or enterocutaneous fistula.
2. Renal failure (Acute tubular necrosis)
3. Short bowel syndrome
4. Severe burns
5. Hepatic failure (acute decompensation superimposed on cirrhosis)
6. Crohn's ds
7. Anorexia nervosa
(B) As a supportive therapy
Acute radiation enteritis
Acute chemotherapy toxicity
Prolonged ileus
Weight loss preliminary to major surgery
(C) Areas under Intensive study
Patients with cancer
Patients with sepsis
About Pancreatitis TPN was once a preferred route of providing nutritional support to patients with sever acute pancreatitis, but now jejunal enteral feeding is the preferred method with TPN required for few cases when
there is delay in providing jejunal enteral nutrition to patient with significant malnutrition for more than 3- 4 days
there is persistent ileus there is exacerbation of pancreatitis after enteral nutrition
Category:
Surgery
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now