Summary
Samenvatting Parenterale voeding
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TPN, verpleegkunde, praktijk, parenterale voeding
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Wat?- Intraveneuze weg (perifeer - centraal)
- Kunstmatige voeding
- Complementaire (pt mag eten) of TPN
- Lichaam neemt het onmiddellijk op
- Zorgvrager die enterale voeding krijgen
- Zorgvrager met tekort aan voedingsnoden
Patiënt: mag niet eten
- Darm rust:
1. Fistels (slokdarmfistel)
2. Acute pancreatitis
3. Darmontsteking
4. POST-OP ingreep: gastro intestinaal
Patiënt: kan niet eten
- Hersentrauma
- Polytrauma
- Slokdarm; maag stenose
- Paralytische ileus
- Maxillo-faciale operatie
Patiënt wil niet eten:
- Geriatrische pt; geen eetlust
- Anorexia nervosa
- Psychiatrische pt
Patiënt; mag, kan, wil eten maar kan niet voorzien in zijn behoeften
- Pt met sepsis, brandwonden
- Ondersteunende therapie; chemo- radiotherapie
Voedingsstoffen:
→ Eiwitten; aminozuren (= bouwstenen)
→ Calorieën; vetten, glucose (20, 30, 50%)
Vetten, glucose, eiwitten = 3 belangrijke elementen binnen TPN
Extra toevoegingen;
- Addamel
- Soluvit + Vitalipid (vanaf dag 7)
Perifeer; max 10% / >10% = centraal
Wanneer het gemengd is; blijft dit 24u stabiel
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