Dietitians in Nutrition Support

Fact vs Fiction: Parenteral Nutrition Edition

Dietitians in Nutrition Support

Show Notes

Working in a clinical setting, Shelby MS, RDN-AP, CNSC, CCTD has heard all sorts of interesting statements about parenteral nutrition. In this video, she breaks down the facts from the fiction in regards to 8 common PN myths based on the current parenteral nutrition literature and recommendations.

References: Chapter 7. ASPEN Adult Core Curriculum Muller CM (Ed), 2017.SPEN. Appropriate dosing for parenteral nutrition: ASPEN recommendations. 2020 nutritioncare.org/pndosing

Guenter P, Abdelhadi R, Anthony P, et al. Malnutrition diagnoses and associated outcomes in hospitalized patients: United States, 2018. Nutr Clin Pract. 2021 Oct;36(5):957-969

Guenter P, Blackmer A, Malone A, et al. Update on use of enteral and parenteral nutrition in hospitalized patients with a diagnosis of malnutrition in the United States. Nutr Clin Pract. 2022 Feb;37(1):94-101

JPEN J Parenter Enteral Nutr. 2022 Feb;46(2):273-299.

Worthington P, Balint J, Bechtold M, et al. When is parenteral nutrition appropriate? JPEN J Parenter Enteral Nutr, 2017;41(3):324-377

Closed Captions provided by Kaitlyn Batista MS, RDN, CDN, CNSC

Time stamps: 0:22 Statement #1: Parenteral Nutrition should be ordered based on medical diagnosis or disease state 1:15 Statement #2: PN should be used only when the gut doesn’t work 2:40 Statement #3: Malnourished patients typically receive parenteral nutrition therapy 4:15 Statement #4: PN therapy does not require a central catheter for infusion 5:30 Statement #5: There are different types of lipid injectable emulsions (ILE) for use in a PN prescription 6:42 Statement #6: PN causes central-line associated bloodstream infections (CLABSIs) 7:44 Statement #7: All PN prescriptions should include a daily full dose of multivitamins unless contraindicated 9:10 Statement #8: A standard multivitamin and trace element product is sufficient for all patients requiring PN therapy

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