Tugas mandiri TPN

7/25/2019 Tugas mandiri TPN

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Pembimbing : dr. Charles, Sp. A

Dibuat Oleh : Ayu Rahmi Mutmainah (030.0.03!"

DEPARTEMEN ILMU PENYAKIT ANAK RUMAH SAKIT UMUM DAERAH KOTA BEKASI

FAKULTAS KEDOKTERAN UNIVERSITAS TRISAKTI

PERIODE 25 MEI – 1 AGUSTUS 2015



TPN

Is meth! " "ee!#$% th&t '()&ssesthe %&st*#$test#$&+ t*&,t-

F+.#! %#/e$ #$t /e#$- Th#s )*/#!es mst " the $.t*#e$ts

the '!( $ee!s

The meth! #s .se! he$ & )e*s$,&$$t * sh.+! $t *e,e#/e"ee!#$%s * .#!s '( m.th



Whom to

give? &$ $t "ee! 3 %.t &$m&+#es4 GI

s.*%e*(4 NE &$ $t "ee! e$.%h –P*em&t.*#t(4

*e$&+ !#se&se4 ,&*!#&, !#se&se4%*th "&#+.*e " ,h*$#, !#se&se

Sh.+! $t "ee! – #$test#$&+

'st*.,t#$ Inability to tolerate minimum 60

kcal/kg/d by enteral route



Whom not to

give? Met&'+#, &,#!s#s

A,.te *e$&+ "&#+.*e – +#%.*#&4 .*e&4

,*e&t h+est&t#, 6&.$!#,e



Infusion

Routes #mbili$al %ein& .)t D7

'ng line ) )+&,e! )e*,.t&$e.s+( 3e8)e$s#/e

*r%ia$ ) )+&,e! s.*%#,&++( 3 e8)e$s#/e $9*m )*)e* +#$e )+&,eme$t '( 83*&( Peripheral %ein

,&$:t %#/e h#%he* ,$,-"

!e8t*se4m&812-5; )*'+em #th &se)s#s #$ )*+$%e! TPN &4 &m#$ &,#! !&m&%es /e#$s Use! <0; " the t#me #$ .* .$#t



GOALS OF NUTRITION

SUPPORT T )*ese*/e & %! $.t*#t#$&+ st&t.s T )*e/e$t m&+$.t*#t#$

T )*/#!e the*&)( t he+) )&t#e$t #th/&*#.s !#s*!e*s

T )*/#!e &!e=.&te $.t*#t#e$t tmet&'+#, $ee!s

T #m)*/e the $.t*#t#$&+ &$!

met'+#, ,$!#t#$ T &/#! ,m)+#,&t#$s

T #m)*/e )&t#e$t .t,mes



I$ )*e)&*#$% &$! )+&$$#$% "* &)&t#e$t t *e,e#/e PN4 the %&+ssh.+! 'e ,+e&*+( st&te! '(!ete*m#$#$% the )&t#e$t:s

1- $.t*#t#$&+ *e=.#*eme$ts2- '&se+#$e met'+#, )&*&mete*s

>- &$t#,#)&te! PN !.*&t#$

?- &,,ess'#+#t( " ,e$t*&+ /e#$s5- the ,m)#,&t#$s " the*&)(





































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Tugas mandiri TPN