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Parenteral Nutrition Indications:

© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. Worthington P et al. JPEN 2017

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© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. Parenteral Nutrition Indications

Acute and/or Chronic Intestinal Failure

• Enteral nutrition is not feasible or poorly tolerated
o Trial failed with appropriate tube placement
o Enteral nutrition contraindicated
- Mesenteric ischemia
- Small bowel obstruction

• Inability to consume adequate diet
o 3-5 days in severely ill
o 7 days for other patients

• Delay initiation with severe metabolic instability until clinical condition has improved

Ohio State University, Guideline on the Use of Parenteral and Enteral Nutrition, 2008
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