Page 24 - Avoid Food and Drug Interactions

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

• The addition of PN to enteral nutrition (tube feeding or oral) to meet
energy and protein goals, i.e. when enteral nutrition alone is
insufficient

• Intended to avoid the consequences of an energy deficit that results
from underfeeding, especially in the critically ill

© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. 43

Supplemental Parenteral Nutrition

Guideline statements:
2017 ESPEN clinical nutrition in surgery
• If energy and nutrient requirements cannot be met by oral or enteral

intake alone (<50% of caloric requirement) for more than 7 days; a
combination of enteral and parenteral nutrition is recommended.

Russell and Wischmeyer.. Nutr Clin Pract 33:359-369, 2018

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