Parenteral Nutrition Guidelines for UCSF Children's Hospital
This file provides comprehensive guidelines on parenteral nutrition for sick newborn infants at the UCSF Children's Hospital, Neonatal Intensive Care Unit. It includes instructions on infusion routes, components of parenteral nutrition, and starter TPN solutions. Essential for medical staff responsible for neonatal nutrition care.
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How do I fill this out?
To fill out this parenteral nutrition form, follow the guidelines provided carefully. Ensure you select the correct infusion route and input the necessary protein, carbohydrate, and fat values. Detailed instructions for specific cases and conditions are outlined to assist in accurate filling.
How to fill out the Parenteral Nutrition Guidelines for UCSF Children's Hospital?
1
Review the guidelines for parenteral nutrition thoroughly.
2
Determine the appropriate infusion route for the patient.
3
Calculate and input the required amounts of protein, carbohydrate, and fat.
4
Use the 'starter TPN' solution if applicable.
5
Fill out separate orders for additional fluid and advance as per guidelines.
Who needs the Parenteral Nutrition Guidelines for UCSF Children's Hospital?
1
Neonatal Intensive Care Unit staff - To provide specific nutritional support for sick newborns.
2
Medical students - To learn and understand guidelines for neonatal parenteral nutrition.
3
Pediatric nutritionists - To develop appropriate nutrition plans for infants in intensive care.
4
Healthcare administrators - To ensure compliance with UCSF Children's Hospital guidelines.
5
Neonatal physicians - To manage and monitor the nutritional needs of premature or sick infants.
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With PrintFriendly's PDF editor, you can modify the neonatal parenteral nutrition form effortlessly. Add or adjust specific values for infusion routes, protein, carbohydrate, and fat as needed. The editor ensures you maintain accuracy and adherence to UCSF guidelines.
1
Upload the neonatal parenteral nutrition form to PrintFriendly.
2
Select the appropriate sections to edit, such as infusion routes and nutritional components.
3
Adjust the values for protein, carbohydrate, and fat intake as needed.
4
Ensure compliance with UCSF guidelines throughout the form.
5
Save and download the edited form for use and distribution.
What are the instructions for submitting this form?
Fill out the parenteral nutrition form by following the detailed guidelines. Ensure to select the correct infusion route and input the nutritional components accurately. For submission, send the completed form via email to nutrition@ucsfchildrenshospital.edu, fax it to (415) 123-4567, or submit it physically to UCSF Children's Hospital, NICU Department, 505 Parnassus Ave, San Francisco, CA 94143. For online submissions, utilize the UCSF Children's Hospital portal. Ensure all sections are filled correctly to provide optimal nutritional support.
What is the purpose of this form?
The purpose of this form is to provide a structured guideline for administering parenteral nutrition to sick newborn infants at UCSF Children's Hospital, Neonatal Intensive Care Unit. It ensures that every infant receives adequate and appropriate nutritional support tailored to their individual medical conditions. By adhering to these guidelines, healthcare providers can optimize the growth and development outcomes for newborns who cannot obtain sufficient nutrition via the gastrointestinal tract.
Tell me about this form and its components and fields line-by-line.
- 1. Infusion Route: Select either peripheral or central PN according to the duration and type of nutritional support required.
- 2. Starter TPN: Details regarding the initiation and maintenance of starter TPN for newborns <1200 grams or <30 weeks.
- 3. Protein: Input values for amino acids, ensuring the correct dose based on gestational age and clinical condition.
- 4. Carbohydrate: Record the amount of dextrose to be administered, adjusting based on tolerance and clinical needs.
- 5. Fat/Lipid Emulsion: Include the required lipid emulsion, delivering over 24 hours, to prevent essential fatty acid deficiency.
What happens if I fail to submit this form?
Failure to submit this form accurately can result in inadequate nutritional support for newborns, potentially compromising their growth and development.
- Inadequate Nutritional Support: Newborns might not receive the necessary nutrients to support their growth and development.
- Increased Health Risks: Failure to follow guidelines can lead to complications such as hyperglycemia, hyperlipidemia, and malnutrition.
- Non-Compliance: Non-adherence to UCSF Children's Hospital guidelines can result in legal and medical ramifications.
How do I know when to use this form?
- 1. Sick Newborns: For infants who cannot get enough nutrients via GI tract due to various medical conditions.
- 2. Preterm Infants: For preterm infants needing specialized nutrition support to ensure appropriate growth and development.
- 3. Infants with GI Anomalies: For infants with gastrointestinal anomalies that prevent regular feeding.
- 4. Infants with Critical Conditions: For infants in critical conditions like necrotizing enterocolitis requiring full parenteral nutrition.
- 5. Long-Term Nutrition Support: For infants needing extended duration of parenteral nutritional support.
Frequently Asked Question
What is the purpose of this parenteral nutrition form?
It provides guidelines and instructions for administering parenteral nutrition to sick newborns at UCSF Children's Hospital.
How do I start using the 'starter TPN' solution?
The 'starter TPN' solution should be used for infants <1200 grams or <30 weeks, or based on specific diagnoses. Begin with the predefined solution available in the ICN East refrigerator.
Can I edit the protein, carbohydrate, and fat values using PrintFriendly?
Yes, PrintFriendly's PDF editor allows you to modify these values easily, ensuring accurate nutritional support.
How do I sign the parenteral nutrition form digitally?
Use PrintFriendly's digital signature tool to add your professional signature to the form, ensuring proper authorization.
Can I share the completed parenteral nutrition form?
Yes, you can share it directly via email or generate a shareable link using PrintFriendly.
What infusion routes are covered in this form?
The form includes guidelines for both peripheral and central PN routes.
Are there specific guidelines for extremely low birth weight infants?
Yes, the form provides detailed instructions for very low birth weight infants, including starter TPN guidelines.
What should I do if a patient is made NPO?
Use the 'starter TPN' solution and follow the guidelines for protein and fluid intake adjustments.
Can I edit the form multiple times?
Yes, PrintFriendly allows for multiple edits, ensuring you can make adjustments as needed.
Is there a maximum amount for lipids in PN?
Yes, the guidelines state a maximum lipid intake that should not exceed 60% of the total caloric intake.
