Tips on Parenteral

Tube Feeding

Nursing Care Of Adults I / 321

Renad Mosfer Al-Dousari (41-1-2-1-0613) , Section 5
Dr. Zahra Ibrahim Alnaser
 Objectives
By the end of this presentation the audience
will be able to
Elaborate the nurse role for the patient
Define the Parenteral tube feeding feeding by parenteral tube feeding

Differentiate between the two types of Discuss the contraindications of Parenteral

Parenteral tube feedings tube feeding

Recognize the purpose of Parenteral Know the complications of parenteral tube feeding
tube feeding and understand the nurse role in the complications

Identify the indications of parenteral

tube feeding
 Outline
Parenteral tube feeding definition and types.

Parenteral tube feeding purpose.

Parenteral Tube Feeding Indications
Nursing Care for the Patient Feeding by Parenteral
Nutrition.
Parenteral Tube Feeding Contraindications.

Parenteral Tube Feeding Complications & Nursing care.

Introduction
 The Definition of Parenteral
Tube Feeding
Parenteral Tube Feeding ( Parenteral Nutrition) is
defined as

The administration of multiple liquid nutrients

through a catheter placed in a vain .

Total Parenteral Nutrition( TPN),

Central Parenteral Nutrition (CPN)

Peripheral Parental Nutrition

What is Purpose Parenteral Tube
Feeding ?

provides patients with all or most calories and

nutrients to:

• Correct , prevent malnutrition

• Improve healing process

• Maintain physical well-being

and function.
Parenteral Tube Feeding Indications
Impaired (function, leaking) of
gastrointestinal tract.

Impaired access to gastrointestinal

tract.

Inability to adequately nourished by

oral or enteral means.
 Nursing Care for the Patient Feeding by
Parenteral Nutrition

Pre During Post

Obtain a complete health
• history & physical examination
Assess for the presence or
• • Monitor flow rate and
history of nutritional deficits
• Obtain laboratory studies
Perform hand hygiene,
• usse aseptic technique
• Monitor vital signs, observing • Weigh self daily.
for signs of infection
• Report sudden increases in
weight or decreased urine
• Monitor blood glucose levels
output.
• Keep all appointments for
device site frequently. follow-up care and
• Daily weight, or twice weekly laboratory testing.
• Daily assessment of
vascular line
• Instruct client that infusion
site has high risk for
• Twice weekly urinary
infection development
sodium.
Parenteral Tube Feeding
Contraindications

When gastrointestinal feeding is possible

Infants with a short bowel length of less than 8
centimeters
Patients with critical cardiovascular instability
or metabolic instabilities
Irreversibly decerebrated patients.
Parenteral Tube Feeding Complications &
Nursing care

Complications on the
catheter.

Occlusion & Thrombotic

complications.
Conclusion
Questions
If there a patient has cancer in his digestive tract causes an obstruction in
his bowl, and preventing adequate food intake. What is the best way to
provide nutrition for him?
A. NGT
B. PN
What the major different between NGT & PN?
A. NGT sends nutrients straight to blood stream, and PN sends
nutrients to the stomach
B. PN sends nutrients straight to blood stream, and PN sends
nutrients to the stomach

The major site for the insertion of Total Parenteral tube feeding are ?
A. Internal jugular Vein & subclavian vein
B. Forearm veins & the back of the hand veins
 Thank you
for listening
1.
References & Resources
What is Parenteral Nutrition. ASPEN | What Is Parenteral Nutrition. (n.d.). Retrieved November 6, 2021, from http://www.nutritioncare.org
/about_clinical_nutrition/what_is_parenteral_nutrition/
2. . Enteral and Parenteral Nutrition - American College of Gastroenterology. American College of Gastroenterology. (2021). Retrieved 6 November 2021, from https://
gi.org/topics/enteral-and-parenteral-nutrition/.
3. Home parenteral nutrition - Mayo Clinic. Mayoclinic.org. (2021). Retrieved 6 November 2021, from https://www.mayoclinic.org
/tests-procedures/total-parenteral-nutrition/about/pac-20385081.
4. Agency for Clinical Innovation. (2011). Parenteral nutrition pocketbook.
5. 1 Guidance | Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition | Guidance | NICE. Nice.org.uk. (2021). Retrieved 6
November 2021, from https://www.nice.org.uk/guidance/cg32/chapter/guidance.
6. Contributor, N. (2021). Management and effects of parenteral nutrition | Nursing Times. Nursing Times. Retrieved 6 November 2021, from https://www.nursingtimes.net
/clinical-archive/nutrition/management-and-effects-of-parenteral-nutrition-18-10-2005/.
7. Lee, H. A., & Raman, G. V. (2013). A Handbook of Parenteral Nutrition: Hospital and home applications. Springer .
8. Slattery, E., Rumore, M. M., Douglas, J. S., & Seres, D. S. (2014). 3-in-1 vs 2-in-1 parenteral nutrition in adults: a review. Nutrition in clinical practice : official
publication of the American Society for Parenteral and Enteral Nutrition, 29(5), 631–635. https://doi.org/10.1177/0884533614533611
9. Hartman, C., Shamir, R., Simchowitz, V., Lohner, S., Cai, W., Decsi, T., ... & Yan, W. (2018). ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral
nutrition: Complications. Clinical Nutrition, 37(6), 2418-2429. ISO 690
10. (2021). Retrieved 6 November 2021, from https://www.rn101.net/single-post/2018/03/03/nursing-care-for-patients-receiving-total-parenteral-nutrition-tpn

Video :
https://youtu.be/-T14XOrQB4g

Pictures :
https://gi.org/topics/enteral-and-parenteral-nutrition/