Topic: Tests & Procedures
This handout was written to answer some of the questions you may have about your child’s parenteral nutrition. Please feel free to ask your child’s nutritionist, doctor or nurse to go over any information you do not understand.
WHAT IS PARENTERAL NUTRITION?
Parenteral nutrition (also called total parenteral nutrition, TPN, hyperalimentation, or hyperal) is a method of feeding your child through his or her veins. TPN is given through a plastic tube called an IV (intravenous) line or catheter. A pump controls the amount your child gets. When the catheter is placed in a small vein in the hand, foot or head it is called a peripheral line. When it is placed in a larger blood vessel it is called a central line.
WHY DOES MY CHILD NEED PARENTERAL NUTRITION?
TPN is used when a child is unable to eat or unable to get enough nutrition with the diet he or she is being fed. TPN will provide your child with calories, protein, vitamins, and minerals that he or she needs.
WHAT DOES PARENTERAL NUTRITION LOOK LIKE?
The bag of yellow fluid hanging by your child’s bed contains sugar (dextrose), protein (amino acids), vitamins (which give the fluid its color), and minerals. There may also be a bottle or syringe of milky white fluid called a lipid emulsion. This provides fat for calories and additional nutrients your child needs to grow and maintain weight.
WHAT CAN I EXPECT WHILE MY CHILD IS GETTING PARENTERAL NUTRITION?
Your child will be closely followed by his or her doctor and other health professionals, such as dietitians, nurses and pharmacists who have a special interest in nutrition. His or her progress and growth will be monitored while on TPN. The nurse, dietitian or physician caring for your child will explain the specific procedures that may need to be done. This usually includes measuring growth and following blood and urine tests.
HOW LONG WILL MY CHILD NEED PARENTERAL NUTRITION?
As your child is able to take more calories from formula/diet, fewer calories will be needed from TPN. TPN will be stopped once your child can take enough calories from formula/diet or by mouth. Your child’s progress and growth will still be watched closely to be sure he or she is getting enough nutrition.
IS PARENTERAL NUTRITION THE SAME FOR EVERY CHILD?
No. TPN therapy may vary according to your child’s needs. Patients can receive TPN continuously over the whole day or it may be given for only part of the day (usually night) to give the child a break from being hooked up to an IV all the time. This allows for more freedom of movement to allow for playing or walking. Each child’s bag of TPN is made especially for him or her. The way TPN is given may vary during your child’s hospital stay. Your physician, dietitian or nurse will discuss with you the treatment best suited for your child.
Derechos de autor(c) de The Children's Medical Center, ano 1999. Este material unicamente tiene fines educativos. No puede ser reproducido, distribuido ni modificado sin previa autorizacion de The Children's Medical Center of Dayton, One Children's Plaza, Dayton, Ohio, 45404-1815. Llame al 937-641-3666 para solicitar autorizacion o para obtener un juego maestro para copias. Para obtener mas informacion puede visitar www.childrensdayton.org (consulte la seccion de informacion legal).
La informacion contenida en este material es unicamente informacion de tipo general. No debe considerarse como completa. Para obtener mas informacion acerca de los complementos para leche materna, por favor pidala a su doctor.
Corregido: 1994, 2000, 2003
The information contained in this handout is for general information only and should not be considered complete. For specific information about bathing your baby, please ask your doctor or nurse practitioner.
Additional information may be located in the Family Resource Center, 2nd floor, near the Outpatient Surgery Center. Hours of the center vary; please contact the Family Resource Center at 937-641-3700.
Copyright(c) The Children's Medical Center of Dayton. This material is for educational purposes only. It cannot be reproduced or distributed without permission from Dayton Children's.
Revised: 1994, 2000, 2003
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