0 stringlengths 12 494 | embeddings listlengths 384 384 |
|---|---|
catheters\tand\tPICCs\tcan\tbe\tused\tfor\textended\ttherapy\tin\tthe\thospital\tor\tfor\thome\tinfusion\ttherapy.\tCare\tof\nlong-term\tcatheters\trequires\tspecialized\thandling\tand\textensive\tpatient\teducation.\nParenteral\tsolutions\nProtein\nCommercially\n\tavailable\tstandard\tPN\tsolutions\tcontain\tall\tesse... | [
0.032924722880125046,
-0.02056547999382019,
0.04562489315867424,
-0.0626804530620575,
-0.14589332044124603,
-0.013496153987944126,
0.0906776636838913,
0.013695944100618362,
0.03600987046957016,
0.02708556316792965,
0.06258194893598557,
0.019560523331165314,
0.03497345373034477,
0.093143410... |
nonessential\tamino\tacids.\tNonessential\tnitrogen\tis\tprovided\tprincipally\tby\tthe\tamino\tacids\talanine\tand\nglycine,\tusually\twithout\taspartate,\tglutamate,\tcysteine,\tand\ttaurine.\tSpecialized\tsolutions\twith\tadjusted\namino\tacid\tcontent\tthat\tcontain\ttaurine\tare\tavailable\tfor\tinfants,\tfor\twho... | [
0.024275146424770355,
-0.07538754492998123,
0.07621688395738602,
-0.0365738645195961,
-0.12191306054592133,
-0.033497899770736694,
0.08795376121997833,
-0.016307910904288292,
0.01983286626636982,
0.0637759193778038,
0.1408035159111023,
-0.04555497318506241,
0.03021867386996746,
0.056778777... |
to\tbe\nconditionally\tessential.\nThe\tconcentration\tof\tamino\tacids\tin\tPN\tsolutions\tranges\tfrom\t3%\tto\t20%\tby\tvolume.\tThus\ta\t10%\tsolution\nof\tamino\tacids\tsupplies\t100\tg\tof\tprotein\tper\tliter\t(1000\tmL).\tThe\tpercentage\tof\ta\tsolution\tusually\tis\nexpressed\tas\tits\tfinal\tconcentration\ta... | [
0.018139833584427834,
-0.06539380550384521,
-0.023239679634571075,
-0.06669536232948303,
-0.0772896558046341,
-0.005225619301199913,
0.10958343744277954,
-0.0017407245468348265,
0.015215340070426464,
0.06457711011171341,
0.10646521300077438,
-0.03816311061382294,
0.11646560579538345,
0.049... |
amino\tacid\tsolutions\tis\tapproximately\t4\tkcal/g\tof\tprotein\n\tprovided.\tProtein\tneeds\tare\tcalculated\tbased\ton\nthe\tnutrition\tassessment\tdata\trelated\tto\tdisease,\tinjury,\tor\tclinical/nutrition\tstatus\tand\trange\tbetween\t15%\nand\t20%\tof\ttotal\tenergy\tintake\t(\nMueller\tet\tal,\t2011\n). | [
0.011129549704492092,
-0.08891696482896805,
0.000027629810574580915,
-0.07079457491636276,
-0.055495597422122955,
0.02915962040424347,
0.09672679007053375,
0.0983060896396637,
-0.03846102952957153,
0.06894867867231369,
0.09810277074575424,
-0.02333221398293972,
0.02489747479557991,
0.06727... |
Carbohydrates\nCarbohydrates\tare\tsupplied\tas\tdextrose\tmonohydrate\tin\tconcentrations\tranging\tfrom\t5%\tto\t70%\tby\nvolume.\tThe\tdextrose\tmonohydrate\tyields\t3.4\tcalories\tper\tgram.\tAs\twith\tamino\n\tacids,\ta\t10%\tsolution\tyields\n100\tg\tof\tcarbohydrates\tper\tliter\tof\tsolution. | [
0.001666759024374187,
-0.09744911640882492,
0.009149531833827496,
-0.025656478479504585,
-0.063414067029953,
-0.004813157021999359,
0.1233203187584877,
0.01927451603114605,
-0.03370378166437149,
0.04772717133164406,
0.08968816697597504,
-0.09560685604810715,
0.009724307805299759,
0.0107471... |
100\tg\tof\tcarbohydrates\tper\tliter\tof\tsolution.\nMaximum\trates\tof\tcarbohydrate\tadministration\tshould\tnot\texceed\t5\tto\t6\tmg/kg/min,\tcalculated\tover\ta\t24-\nhour\tinfusion\tperiod,\tin\tcritically\till\tpatients.\tWhen\tPN\tsolutions\tprovide\t15%\tto\t20%\tof\ttotal\tcalories\tas | [
-0.010207997635006905,
-0.02295725792646408,
-0.02478884346783161,
-0.03501194342970848,
-0.12919586896896362,
-0.061463821679353714,
0.08510944992303848,
0.11156678944826126,
-0.027134886011481285,
0.0015015068929642439,
0.05270174890756607,
-0.06179511547088623,
0.02646363526582718,
0.02... |
protein,\t20%\tto\t30%\tof\ttotal\tcalories\tas\tlipid,\tand\tthe\tbalance\tfrom\tcarbohydrate\t(dextrose),\tinfusion\tof\ndextrose\n\tshould\tnot\texceed\tthis\tamount.\tExcessive\tadministration\tcan\tlead\tto\thyperglycemia,\thepatic\nabnormalities,\tor\tincreased\tventilatory\tdrive\t(see\t\nChapter\t33\n).\nLipids... | [
-0.03630688041448593,
-0.13148365914821625,
-0.004101111553609371,
-0.02898784540593624,
-0.07484070211648941,
0.0012694014003500342,
0.05954987555742264,
0.08548792451620102,
-0.015285101719200611,
0.02291874960064888,
0.05156562849879265,
0.006970487534999847,
0.014555227942764759,
0.060... |
Chapter\t33\n).\nLipids\nIntravenous\tlipid\temulsions\t(ILE)\n\tprovide\tcalories\tand\tthe\tessential\tfatty\tacids\t(EFA),\tlinoleic\tacid\t(LA)\nand\talpha-linolenic\tacid\t(ALA)\tin\tPN\tto\tavoid\tEFAD\t(\nDerenski\tet\tal,\t2016\n;\t\nMundi\tet\tal,\t2017\n)\nApproximately\t2%\tto\t4%\tof\tcalories\n\tfrom\tlino... | [
-0.04988718405365944,
0.01108236238360405,
0.02293642796576023,
-0.05952976271510124,
-0.07941976189613342,
0.0002091160713462159,
0.03752670809626579,
0.01894126646220684,
0.010363129898905754,
0.05302298441529274,
0.1359628289937973,
-0.05855564400553703,
0.0054078660905361176,
0.0318592... |
required\tto\tprevent\tEFAD\t(\nDerenski\tet\tal,\t2016\n;\t\nGramlich\tet\tal,\t2015\n).\tAdministration\tshould\tnot\texceed\t2\ng\tof\tILE\tper\tkilogram\tof\tbody\tweight\tper\tday,\talthough\trecommendations\tof\t1\tto\t1.5\tg/kg\tare\tcommon.\nTriglyceride\tlevels\tshould\tbe\tmonitored\tand\twhen\ttriglycerides\... | [
-0.017457226291298866,
0.005213612224906683,
0.02340494655072689,
-0.04301385208964348,
-0.10114270448684692,
-0.02867390774190426,
0.028987349942326546,
0.029237043112516403,
-0.07511920481920242,
0.0324292927980423,
0.05557800829410553,
-0.09068901836872101,
0.02390672266483307,
0.034155... |
discontinued.\tAll\tILE\n\tshould\tbe\tadministered\tthrough\ta\t1.2-micron\tfilter.\nA\t10%\tILE\tcontains\t1.1\tkcal/mL,\twhereas\ta\t20%\temulsion\tcontains\t2\tkcal/mL.\tProviding\t20%\tto\t30%\tof\ntotal\tcalories\tas\tlipid\temulsion\tshould\tresult\tin\ta\tdaily\tdosage\tof\tapproximately\t1\tg\tof\tfat\tper\tki... | [
-0.04412318021059036,
-0.016102226451039314,
0.014537839218974113,
-0.08043267577886581,
-0.0696902647614479,
-0.05443447828292847,
-0.008556894026696682,
-0.011655890382826328,
-0.06297886371612549,
0.02227642387151718,
0.06602160632610321,
-0.004883250687271357,
0.003477133810520172,
0.0... |
body\tweight.\tFor\tcritically\till\tpatients\twho\treceive\tsedation\tin\tan\tILE,\tthese\tcalories\tshould\tbe\tincluded\tin\nthe\tnutrient\tintake\tcalculations\n\tto\tavoid\toverfeeding\tor\tunderfeeding\t(\nDrover\tet\tal,\t2010\n).\tDiprivan\n(propofol)\tis\tan\texample\tof\ta\tsedation/anesthesia\tagent\tadminis... | [
-0.01291976124048233,
-0.02012067846953869,
0.06999942660331726,
0.022219493985176086,
-0.10689810663461685,
-0.007332651875913143,
0.10995842516422272,
-0.0007423028582707047,
-0.02067512646317482,
0.03395763412117958,
0.10758748650550842,
-0.05570722743868828,
0.01442419271916151,
0.0450... |
oil-based\tILE\tproviding\tapproximately\t1.1\tkcal/mL\tinfused.\tIn\tthe\thospital,\tlipid\tis\tinfused\tfor\t24\thours\nwhen\tmixed\twith\tthe\tdextrose\tand\tamino\tacids.\tAlternatively,\tlipids\tcan\tbe\tprovided\tseparately\tby\tinfusion\nvia\tan\n\tinfusion\tpump.\tFor\tadult\tpatients\treceiving\t\nhome\tparent... | [
-0.05679076164960861,
-0.029803574085235596,
0.05168812721967697,
-0.03017035871744156,
-0.10216349363327026,
-0.03480925038456917,
0.04552829638123512,
0.07182849198579788,
0.006450166925787926,
-0.03861427679657936,
0.1007135808467865,
0.03612150624394417,
-0.007312588859349489,
0.013581... |
home\tparenteral\tnutrition\t(HPN)\n,\tthe\tPN\tmost\toften\nis\tinfused\tduring\t10\tto\t12\thours\tper\tday\twith\tthe\tlipid\tas\tpart\tof\tthe\tPN\tsolution.\tIt\tmay\tbe\tinfused\tas\ta\ndaily\tcomponent\tof\tthe\tHPN\tor\ta\tfew\ttimes\tper\tweek\t(\nKirby\tet\tal,\t2017\n).\nSelection\tof\tILE\tshould\tbe\tbased... | [
0.002873258199542761,
0.0073709748685359955,
0.05696849524974823,
-0.05999354273080826,
-0.11143765598535538,
-0.007863301783800125,
0.04312778264284134,
-0.04386509582400322,
-0.04570477083325386,
0.02401239052414894,
0.06893674284219742,
-0.010842550545930862,
0.042433060705661774,
0.010... |
currently\tavailable\tin\n\tthe\tUnited\tStates\tare\tcomposed\tof\taqueous\tsuspensions\tof\tsoybean\toil\twith\tegg\tyolk\nphospholipid\tas\tthe\temulsifier\t(Intralipid\n®\n,\tFresenius\tKabi\t[marketed\tby\tBaxter\tHealthcare\tin\tthe\tUnited\nStates],\tand\tNutrilipid\n®\n\tB.\tBraun),\tor\ta\tmixture\tof\tsoybean... | [
-0.0496225468814373,
-0.03452830761671066,
-0.029914559796452522,
-0.03960791230201721,
-0.08139427751302719,
-0.03623497858643532,
0.05323760583996773,
0.04759307950735092,
0.03174106776714325,
0.003052912885323167,
0.13557766377925873,
-0.00597669743001461,
0.003468833165243268,
0.028843... |
Fresenius\tKabi)\tor\tfish\toil\tonly\t(Omegaven,\tFresenius\tKabi).\tThe\tILE\tcontaining\tegg\tphospholipids\tshould\nnot\tbe\tused\twhen\ta\tpatient\thas\tan\tegg\tallergy.\nThese\tILE\tcontain\tvarying\tlevels\tof\tomega-6\tpolyunsaturated\tfatty\tacids,\tomega-3\tfatty\tacids,\tand | [
-0.01925821602344513,
0.012025565840303898,
0.0027692962903529406,
-0.0640755146741867,
-0.14628702402114868,
-0.0045168399810791016,
0.022761860862374306,
0.004705573432147503,
-0.006741044577211142,
0.0207913089543581,
0.12013334035873413,
-0.0809541568160057,
-0.026158953085541725,
0.04... |
monounsaturated\tfat.\tUntil\t2016,\t100%\tsoybean\toil-based\tILE\twere\tavailable\tin\tthe\tUnited\tStates.\tA\tmulti-\noil\tILE,\tSmoflipid\t(Fresenius\tKabi)\thas\tbeen\tused\tin\tEurope\tfor\tmany\tyears\twith\tclinical\tstudies\tin\tcritical\ncare\tand\tlong-term\tHPN\tpatients\tindicating\n\tthat\tit\tis\tsafe\t... | [
-0.01610524207353592,
-0.0007182150147855282,
0.05349944159388542,
-0.06246820092201233,
-0.13939286768436432,
-0.006363483611494303,
0.03890504315495491,
0.02350459434092045,
-0.022307313978672028,
0.015455996617674828,
0.08719193190336227,
-0.04393448680639267,
0.021199310198426247,
0.04... |
Antébi\tet\tal,\t2004\n;\t\nKlek\tet\tal,\n2013\n)\tand\tis\tnow\tused\tin\tthe\tUnited\tStates.\tBecause\tof\tthe\tmultiple\tlipid\ttypes\tin\tthe\temulsion,\tthe\tplasma\nfatty\tacid\tpattern\tdemonstrated\ta\trise\tin\tEPA-\tand\tDHA-derived\tlipid\tmediators\tand\tmaintenance\tof\tan\nadequate\tvitamin\tE\tstatus\t... | [
-0.038176607340574265,
-0.005881589371711016,
-0.008258165791630745,
-0.042966701090335846,
-0.07293810695409775,
-0.00750780152156949,
0.03414963185787201,
0.05313083529472351,
0.026696836575865746,
0.023500174283981323,
0.10716961324214935,
-0.049208804965019226,
-0.003473074873909354,
0... |
Puiggròs\tet\tal,\t2009\n;\t\nGramlich\tet\tal,\t2015\n).\nOmegaven\t(Fresenius\tKabi)\tis\ta\tfish\toil–based\n\tILE\tnow\tavailable\tin\tthe\tUnited\tStates.\tProposed\tbenefits\nof\tfish\toil\tlipid\temulsion,\tas\twell\tas\tthose\tthat\tcontain\tMCTs,\tinclude\tdecreased\tinflammatory\teffects\tand\nless\timmunosup... | [
-0.04448701813817024,
-0.007232019677758217,
-0.01224136259406805,
-0.0643356516957283,
-0.0995267704129219,
-0.005907988175749779,
0.0341922827064991,
0.03512062504887581,
-0.014901082031428814,
0.025838131085038185,
0.08937053382396698,
-0.07262349128723145,
0.013762488961219788,
0.03145... |
less\timmunosuppression\t(\nManzanares\tet\tal,\t2014\n;\t\nDriscoll,\t2017\n).\nCareful\tattention\tto\tthe\tcaloric\tload\tas\twell\tas\tthe\tadequacy\tof\tEFA\tis\timportant\twhen\tthese\tare\tused.\nFor\tthe\tclinician,\tthe\tchoice\tof\tILE\tmust\tinclude\trisks\tand\tbenefits\n\tof\teach\tformulation.\tAs\tsoybea... | [
0.033042289316654205,
-0.021171169355511665,
0.05834376439452171,
-0.06945190578699112,
-0.13298597931861877,
-0.019321024417877197,
0.05478955805301666,
0.017371395602822304,
0.026221398264169693,
0.07630561292171478,
0.09991513192653656,
-0.050037287175655365,
0.068924181163311,
0.023079... |
of\teach\tformulation.\tAs\tsoybean\toil\tis\nprimarily\tproinflammatory\tomega-6\tfatty\tacids,\tthis\tis\ta\tconsideration\twhen\thigher\tamounts\tare\nadministered\tto\ta\tpatient,\tespecially\tfor\ta\tlong-term\tHPN\tpatient\tor\tcritically\till\tpatient.\tAdditionally,\twhen | [
0.01947089284658432,
-0.0002158121351385489,
0.02329477109014988,
-0.04734094813466072,
-0.167776957154274,
-0.000331879680743441,
0.06116742268204689,
0.028181809931993484,
0.044809117913246155,
0.03063649870455265,
0.10754556208848953,
-0.00868208333849907,
0.020207984372973442,
0.048525... |
ILE\tis\tlimited,\tas\twith\tlipid\tlowering\ttechniques\tto\tprevent\tintestinal\tfailure\tassociated\tliver\tdisease,\ndextrose\tmust\tbe\tincreased\tto\tassure\tadequate\n\tcalories\tare\tprovided.\tThis\tcan\tcause\thyperglycemia.\nTherefore\tthe\tuse\tof\tan\tILE\twith\tdecreased\tlevels\tof\tsoybean\toil\tand\tin... | [
0.0008597933338023722,
0.0015781647525727749,
0.05989260971546173,
-0.044068075716495514,
-0.08059460669755936,
0.016979437321424484,
0.09599831700325012,
0.007588472682982683,
-0.00798859540373087,
0.04328826814889908,
0.0895417109131813,
-0.04056582972407341,
0.04281023144721985,
0.03056... |
advantageous\t(\nGramlich\tet\tal,\t2015\n;\t\nKlek\tet\tal,\t2013\n).\nElectrolytes,\tvitamins,\ttrace\telements\nGeneral\tguidelines\tfor\tdaily\trequirements\tfor\telectrolytes\tare\tgiven\tin\t\nTable\t12.3\n,\tfor\tvitamins\tin\t\nTable\n12.4\n,\tand\tfor\ttrace\telements\tin\t\nTable\t12.5\n.\tParenteral\tsolutio... | [
-0.029367540031671524,
0.010444833897054195,
0.008292599581182003,
-0.06313090771436691,
-0.072514109313488,
0.00860362034291029,
0.10060978680849075,
0.06378692388534546,
-0.010446332395076752,
0.03360253572463989,
0.07507862150669098,
-0.011489246040582657,
0.04484879598021507,
0.0407844... |
.\tParenteral\tsolutions\talso\trepresent\ta\tsignificant\tportion\tof\ttotal\ndaily\tfluid\tand\telectrolyte\tintake.\tOnce\ta\tsolution\tis\tprescribed\tand\tinitiated,\tadjustments\tfor\tproper\tfluid\nand\telectrolyte\tbalance\tmay\tbe\tnecessary,\tdepending\ton\tthe\tstability\tof\tthe\tpatient.\tThe\tchoice\tof\t... | [
0.02169332280755043,
-0.044813595712184906,
0.06369409710168839,
-0.04299638047814369,
-0.12002209573984146,
-0.02682827226817608,
0.10448689013719559,
0.022336505353450775,
0.012101229280233383,
0.03254981338977814,
0.11926279217004776,
-0.024963639676570892,
0.019440889358520508,
0.03425... |
form\tof\telectrolytes\t(e.g.,\tchloride,\tacetate)\taffects\tacid-base\tbalance\t(\nDerenski\tet\tal,\t2016\n).\nTABLE\t12.3\nDaily\tElectrolyte\tRequirements\tDuring\tTotal\tParenteral\tNutrition—Adults\nElectrolyte\nStandard\tIntake/Day\nCalcium\n10-15\tmEq\nMagnesium\n8-20\tmEq\nPhosphate\n20-40\tmmol\nSodium\n1-2\... | [
-0.043626733124256134,
-0.05775230750441551,
0.015334196388721466,
-0.013830918818712234,
-0.07576770335435867,
-0.022765662521123886,
0.056513652205467224,
0.15025383234024048,
-0.0811358094215393,
0.008203404024243355,
0.049576472491025925,
-0.03485214710235596,
0.02201271429657936,
0.07... |
Sodium\n1-2\tmEq/kg\t+\treplacement\nPotassium\n1-2\tmEq/kg\nAcetate\nAs\tneeded\tto\tmaintain\tacid-base\tbalance\nChloride\nAs\tneeded\tto\tmaintain\tacid-base\tbalance\nFrom\tMcClave\tSA\tet\tal:\tGuidelines\tfor\tthe\tprovision\tand\tassessment\n\tof\tnutrition\tsupport\ttherapy\tin\tthe\tadult\tcritically\till\tpa... | [
-0.020473001524806023,
-0.052764516323804855,
0.06034950166940689,
-0.053230952471494675,
-0.10011506080627441,
-0.016347849741578102,
0.04661612957715988,
0.07379027456045151,
-0.05219466611742973,
-0.04767723008990288,
0.08690780401229858,
-0.059031277894973755,
0.06168919429183006,
0.03... |
TABLE\t12.4\nAdult\tParenteral\tMultivitamins:\tComparison\tof\tGuidelines\tand\tProducts\nVitamin\nNAG-AMA\nGuidelines\nFDA\nRequirements\nMVI-12\nMVI-13\t(Infuvite)\nBaxter\nA\t(retinol)\n3300\tunits\t(1\tmg)\n3300\tunits\t(1\tmg)\n3300\tunits\t(1\nmg)\n3300\tunits\t(1\tmg)\nD\t(ergocalciferol\ncholecalciferol)\n200\... | [
-0.07469326257705688,
-0.061413977295160294,
-0.0012689309660345316,
-0.047138478606939316,
-0.09284502267837524,
-0.058129653334617615,
0.02892879582941532,
0.09680256247520447,
0.015245342627167702,
0.01313010510057211,
0.05370980501174927,
-0.04386114701628685,
0.0468435063958168,
0.007... |
200\tunits\t(5\tmcg)\n200\tunits\t(5\nmcg)\n200\tunits\t(5\tmcg)\nE\t(mcg-tocopherol)\n10\tunits\t(10\tmg)\n10\tunits\t(10\tmg)\n10\tunits\t(10\nmg)\n10\tunits\t(10\tmg)\nB\n1\n\t(thiamin)\n3\tmg\n6\tmg\n3\tmg\n6\tmg\nB\n2\n\t(riboflavin)\n3.6\tmg\n3.6\tmg\n3.6\tmg\n3.6\tmg\nB\n3\n\t(niacinamide)\n40\tmg\n40\tmg\n40\tm... | [
-0.07194072008132935,
-0.07190655916929245,
-0.034808449447155,
-0.07059697806835175,
-0.09536183625459671,
-0.023317983373999596,
0.007823636755347252,
0.13491137325763702,
-0.0175931416451931,
0.011307531967759132,
0.05433542653918266,
-0.016942864283919334,
0.0925823375582695,
0.0444300... |
15\tmg\n15\tmg\n15\tmg\n15\tmg\nB\n6\n\t(pyridoxine)\n4\tmg\n6\tmg\n4\tmg\n6\tmg\nB\n12\n\t(cyanocobalamin)\n5\tmcg\n5\tmcg\n5\tmcg\n5\tmcg\nC\t(ascorbic\tacid)\n100\tmg\n200\tmg\n100\tmg\n200\tmg\nBiotin\n60\tmcg\n60\tmcg\n60\tmcg\n60\tmcg\nFolic\tacid\n400\tmcg\n600\tmcg\n400\tmcg\n600\tmcg\nK\n150\tmcg\n0\n150\tmcg\... | [
-0.07642839848995209,
-0.029157856479287148,
-0.019535446539521217,
-0.05876096710562706,
-0.08315576612949371,
0.002352664479985833,
-0.001866009901277721,
0.11663797497749329,
0.009552659466862679,
0.003601356642320752,
0.07372864335775375,
-0.0838884636759758,
0.07547671347856522,
0.053... |
Association;\t\nFDA\n,\tU.S.\tFood\tand\tDrug\tAdministration;\t\nMVI-12\n\tand\t\nMVI-13\n,\tmultivitamin\tsupplements;\t\nNAG\n,\tNational\tAdvisory\nGroup.\nVanek\tV\tet\tal:\tA.S.P.E.N.\tposition\tpaper:\trecommendations\tfor\tchanges\tin\tcommercially\tavailable\tparenteral\tmultivitamin\tand\tmulti-trace\telement... | [
-0.013393954373896122,
-0.030179541558027267,
0.0009892666712403297,
-0.04245078191161156,
-0.07932969182729721,
-0.011115094646811485,
0.09207713603973389,
0.02961067482829094,
-0.01643587462604046,
0.02581540122628212,
0.14227966964244843,
-0.029592491686344147,
0.03294748440384865,
0.01... |
Nutr\tClin\tPrac\n\t27:440,\t2012.\nTABLE\t12.5\nDaily\tTrace\tElement\tSupplementation\tfor\tAdult\tParenteral\tFormulations\nTrace\tElement\nIntake\nChromium\n10-15\tmcg\nCopper\n0.3-0.5\tmg\nManganese\n60-100\tmcg\nZinc\n2.5-5.0\tmg\nSelenium\n20-60\tmcg\nParenterally\tadministered\tmultivitamin\tand\tmineral\tprepa... | [
-0.058816827833652496,
-0.044284235686063766,
0.014880822040140629,
-0.019519690424203873,
-0.11303000152111053,
-0.05392537638545036,
0.050388582050800323,
0.15005899965763092,
-0.03177563101053238,
-0.02633979357779026,
0.07585135102272034,
-0.00564392376691103,
0.030286943539977074,
0.0... |
needs.\tThese\tlevels\tmay\tbe\tinadequate\tin\tsome\tsituations\twhen\tadditional\tindividual\tsupplementation\tis\nrequired\t(\nVanek\tet\tal,\t2012\n).\tPatients\treceiving\tPN\tas\ttheir\n\tsole\tsource\tof\tnutrition\tshould\treceive\tadded\nmultivitamins\tand\ttrace\telements\tdaily\tand\tbe\tmonitored\tclosely,\... | [
-0.02887698821723461,
-0.002141496166586876,
0.050196096301078796,
-0.030982671305537224,
-0.10696183890104294,
0.002060098107904196,
0.07162999361753464,
0.006546187214553356,
-0.015200003981590271,
0.03415971249341965,
0.10649971663951874,
-0.04221734032034874,
0.03431309759616852,
0.055... |
Patients\treceiving\tPN\tshort-term\tor\tperipherally\tshould\talso\treceive\tdaily\tmultivitamins\tand\ttrace\nelements.\tIf\tPN\tis\tprovided,\tthere\tis\tno\treason\tto\tleave\tout\tthese\timportant\tadditives.\tMonitoring\tof\nmanganese\tand\tchromium\tstatus\tis\trecommended\n\tfor\tpatients\treceiving\tPN\tfor\tl... | [
-0.05552954599261284,
0.011617904528975487,
0.026984993368387222,
-0.05375427380204201,
-0.08710066229104996,
0.021159671247005463,
0.0665038451552391,
0.05070791020989418,
-0.010384486056864262,
0.01865490712225437,
0.12242193520069122,
0.02267705276608467,
-0.006611804012209177,
0.024458... |
(\nBuchman\tet\tal,\t2009\n).\tIn\tmost\tcases,\tmanganese\tis\tnot\tneeded\tas\ta\tdaily\tinfusion\tas\tit\tis\tprovided\tin\nadequate\tamounts\tas\ta\tcontaminant\tin\tglass\tvials.\tSimilarly,\tchromium\tis\tusually\tnot\tneeded\tdaily.\nIn\tcertain\tcases,\tadditional\tmultivitamins\tmay\tbe\trequired\tto\ttreat\ta... | [
-0.016100473701953888,
-0.02832871861755848,
0.05560634285211563,
-0.054255176335573196,
-0.12787362933158875,
0.004348019137978554,
0.05189349502325058,
0.030909378081560135,
-0.016588080674409866,
0.055095065385103226,
0.08003303408622742,
-0.041926298290491104,
0.05369870364665985,
0.04... |
infusion\tin\tpatients\twith\trefeeding\n\tsyndrome\tor\ta\tdeficiency\tdue\tto\tpoor\tintake.\tRecognizing\tthe\nimportance\tof\tproviding\tspecific\tnutrients\tmay\tobviate\tthe\tdevelopment\tof\ta\tmore\tcomplex\tproblem.\nIron\tis\tnot\tnormally\tpart\tof\tparenteral\tinfusions\tbecause\tit\tis\tnot\tcompatible\twi... | [
0.004883565008640289,
-0.052679143846035004,
0.03133025020360947,
-0.019872212782502174,
-0.0890510156750679,
0.013513955287635326,
0.07134296745061874,
0.05938686057925224,
-0.007591992616653442,
0.018852461129426956,
0.09699128568172455,
0.013983306474983692,
0.006455894093960524,
0.0595... |
certain\tbacterial\tgrowth.\tIn\taddition,\tcare\tmust\tbe\ttaken\tto\tensure\tthat\ta\tpatient\tcan\ttolerate\tthe\tseparate\niron\tinfusion.\tWhen\n\tpatients\treceive\tiron\ton\tan\toutpatient\tbasis,\tthe\tfirst\tdose\tshould\tbe\tdone\tin\ta\ncontrolled\tsetting\t(such\tas\tan\toutpatient\tinfusion\tsuite)\tto\tob... | [
0.0007803128100931644,
-0.004592482000589371,
0.06006408482789993,
-0.024106601253151894,
-0.11613278090953827,
0.014927707612514496,
0.07404137402772903,
0.02482236549258232,
-0.014851712621748447,
0.023163044825196266,
0.13482093811035156,
-0.016932716593146324,
0.03953668102622032,
0.06... |
experience.\nOne\tof\tthe\tchallenges\tin\tPN\tin\tthe\tlast\t5\tyears\thas\tbeen\tthe\toccurrence\tof\tdrug\tshortages\tthat\thave\naffected\tmicro-\tand\tmacronutrients,\tincluding\tILE,\tmultivitamins,\tmultitrace\telements,\tand\telectrolytes\nincluding\tphosphorous.\tPatients\tin\tthe\thospital,\tat\thome,\tand\ti... | [
-0.015256928279995918,
-0.02588162012398243,
0.062012720853090286,
0.019719652831554413,
-0.11490651220083237,
-0.019090546295046806,
0.09526354819536209,
0.056630078703165054,
0.018635263666510582,
-0.033057186752557755,
0.07904151827096939,
-0.02332528680562973,
0.00886240229010582,
0.03... |
also\tother\tintravenous\tand\tinjectable\ttherapies\thave\tbeen\taffected.\tThis\tproblem\tis\texpected\tto\tbe\nongoing,\tand\ttherefore\tclinicians\tshould\tbe\taware\tof\talternative\tproducts\tas\twell\tas\tmethods\tto\tallocate\nsafely\tproducts\tin\tshort\tsupply.\nFluid\nFluid\tneeds\tfor\tPN\tor\tEN\tare\tcalc... | [
0.007573620416224003,
-0.04769375920295715,
0.027067942544817924,
-0.030494216829538345,
-0.055313948541879654,
-0.009382329881191254,
0.11014461517333984,
-0.02759495936334133,
-0.040698304772377014,
0.06056530401110649,
0.0699683353304863,
-0.030571427196264267,
0.10325055569410324,
0.03... |
Maximum\tvolumes\tof\tCPN\trarely\texceed\t3\tL,\twith\ttypical\nprescriptions\tof\t1.5\tto\t3\tL\tdaily.\tIn\tcritically\till\tpatients,\tvolumes\tof\tprescribed\tCPN\tshould\tbe\tcoordinated\nclosely\twith\ttheir\toverall\tcare\tplan\t(\nMundi\tet\tal,\t2017\n).\tThe\tadministration\tof\tother\tmedical\ttherapies | [
0.004870951641350985,
-0.03764146566390991,
-0.0010431524133309722,
-0.09468799829483032,
-0.10713006556034088,
-0.005335144232958555,
0.0909813717007637,
0.026931243017315865,
0.028330065310001373,
0.016714513301849365,
0.03956631198525429,
0.010127963498234749,
0.09076754003763199,
0.043... |
Mundi\tet\tal,\t2017\n).\tThe\tadministration\tof\tother\tmedical\ttherapies\nrequiring\tfluid\tadministration,\tsuch\tas\tintravenous\tmedications\tand\tblood\tproducts,\tnecessitates\tcareful\nmonitoring.\tPatients\n\twith\tcardiopulmonary,\trenal,\tand\thepatic\tfailure\tare\tespecially\tsensitive\tto\tfluid | [
0.014456012286245823,
-0.031067106872797012,
0.06641209870576859,
-0.05675216019153595,
-0.0868898332118988,
-0.01957954280078411,
0.09721104800701141,
0.06942857801914215,
0.020320048555731773,
0.037576474249362946,
0.0910974070429802,
-0.043528273701667786,
0.03352360427379608,
0.0789032... |
administration.\tFor\tHPN,\thigher\tvolumes\tmay\tbe\tbest\tprovided\tin\tseparate\tinfusions.\tFor\texample,\tif\nadditional\tfluid\tis\trequired\tbecause\tof\thigh\toutput\tby\tthe\tpatient,\tthen\ta\tliter\tbag\tof\tintravenous\tfluid\ncontaining\tminimal\telectrolytes\tmay\tbe\tinfused\tduring\ta\tshort\ttime\tduri... | [
0.015002294443547726,
-0.02911079116165638,
0.03537960723042488,
-0.05185740441083908,
-0.11584243178367615,
-0.0254984050989151,
0.06822745501995087,
0.0303219985216856,
0.015552203170955181,
0.028237124904990196,
0.06747227907180786,
-0.01682613417506218,
0.07072841376066208,
0.055507004... |
overnight.\n\tSee\t\nAppendix\t16\n\ton\tcalculating\tPN\tprescriptions.\nCompounding\tmethods\nPN\tprescriptions\thistorically\thave\trequired\tpreparation\tor\tcompounding\tby\tcompetent\tpharmacy\tpersonnel\nunder\tlaminar\tairflow\thoods\tusing\taseptic\ttechniques.\tHospitals\tmay\thave\ttheir\town\tcompounding | [
0.01950276456773281,
-0.03435095027089119,
0.0560428760945797,
-0.03516188636422157,
-0.12579040229320526,
0.02153519168496132,
0.052590955048799515,
0.003779573366045952,
0.043043624609708786,
0.007638412062078714,
0.06374457478523254,
-0.020696526393294334,
0.018179835751652718,
0.021986... |
pharmacy\tor\tmay\tpurchase\tPN\tsolutions\tthat\thave\tbeen\tcompounded\toutside\tthe\thospital\tin\ta\tcentral\nlocation\tand\tthen\treturned\n\tto\tthe\thospital\tfor\tdistribution\tto\tindividual\tpatients.\tA\tthird\tmethod\tof\nproviding\tPN\tsolutions\tis\tto\tuse\tmultichamber\tbag\ttechnology,\twhereby\tsoluti... | [
-0.020316870883107185,
-0.004606244619935751,
0.0469544492661953,
-0.07599720358848572,
-0.061469003558158875,
-0.000430233747465536,
0.1113012507557869,
0.029904769733548164,
-0.0005200798041187227,
-0.0037743907887488604,
0.11817679554224014,
0.02516244910657406,
0.04675636067986488,
0.0... |
quality-controlled\tenvironment\tusing\tgood\tmanufacturing\tprocesses.\tPN\tsolutions\tof\ttwo\tchamber\tbags\ncontain\tamino\tacids\t(with\tor\twithout\telectrolytes)\tand\tdextrose\tand\tare\tavailable\tin\tmultiple\tformulas\twith\nvarying\tamounts\n\tof\tdextrose\tand\tamino\tacids,\tmaking\tthem\tsuitable\tfor\tC... | [
-0.028583787381649017,
-0.031812023371458054,
0.03818242996931076,
-0.05348456650972366,
-0.0666608139872551,
-0.029931718483567238,
0.12098945677280426,
0.029120661318302155,
-0.010279683396220207,
0.04165743291378021,
0.1083260178565979,
-0.014808347448706627,
0.03899167850613594,
0.0246... |
multichamber\tbag\tformulas\tmay\tcontain\tlipids\tin\ta\tthird\tchamber;\thowever,\tthese\tare\tnot\tcurrently\navailable\tin\tthe\tUnited\tStates\tbut\tare\tavailable\tin\tEurope\tand\tCanada.\tThey\tcontain\tconservative\tamounts\nof\telectrolytes\tor\tmay\tbe\telectrolyte\tfree.\tThese\tproducts\thave\ta\tshelf\tli... | [
-0.0115533247590065,
-0.06753160804510117,
0.026268038898706436,
-0.05208616703748703,
-0.09520293772220612,
0.007833782583475113,
0.07632006704807281,
-0.00645662983879447,
0.0191982239484787,
0.0591457225382328,
0.1212000623345375,
-0.026993870735168457,
0.07449711859226227,
0.0192695930... |
refrigerated\n\tunless\tthe\tproduct\tcovering\thas\tbeen\topened\tto\treveal\tthe\tinfusion\tbag.\tThey\tdo\tnot\tcontain\nvitamins\tor\ttrace\telements\tthat\tcan\tbe\tadded\tto\tthe\tsolutions;\ttherefore,\tthe\tclinician\tmust\tadd\nvitamins/minerals\tto\tthe\tpatient’s\ttreatment\tplan\tto\tavoid\tany\tdeficiencie... | [
-0.031599149107933044,
-0.060693852603435516,
0.06072664633393288,
0.013559862971305847,
-0.06812208890914917,
0.0019193784100934863,
0.08185631781816483,
0.0847177654504776,
-0.0439751110970974,
0.01345587708055973,
0.10227745771408081,
-0.024797845631837845,
0.04091489315032959,
0.000893... |
standardized\tsolutions,\twhich\tare\tcompounded\tin\tbatches,\tthus\tsaving\tlabor\tand\tlowering\tcosts;\thowever,\nflexibility\tfor\tindividualized\tcompounding\tshould\tbe\tavailable\twhen\twarranted\t(\nAyers\tet\tal,\t2014\n).\nPrescriptions\tfor\tPN\tare\tcompounded\tin\ttwo\tgeneral\tways.\tOne\tmethod\tcombine... | [
-0.014727478846907616,
0.027869032695889473,
0.05766107141971588,
-0.07328569144010544,
-0.11185659468173981,
-0.01208622008562088,
0.04755466431379318,
-0.0007907647523097694,
-0.02409590408205986,
0.02127995155751705,
0.057901281863451004,
-0.014482283033430576,
0.07712887227535248,
0.02... |
the\tfat\temulsion,\twhich\tis\tinfused\tseparately.\tThe\tsecond\tmethod\tcombines\tthe\tlipid\temulsion\twith\tthe\ndextrose\tand\tamino\tacid\tsolution\tand\tis\treferred\tto\tas\ta\t\ntotal\tnutrient\tadmixture\n\tor\t\n3-in-1\n\tsolution.\n\tThe\nPN\tSafe\tPractices\tGuidelines\tprovide\tclinicians\twith\tinformat... | [
-0.011013328097760677,
-0.025921108201146126,
0.06485724449157715,
-0.03206508234143257,
-0.11297853291034698,
-0.015327008441090584,
0.08406354486942291,
-0.020180173218250275,
0.013350065797567368,
0.026198960840702057,
0.12325657159090042,
-0.015932736918330193,
0.023879431188106537,
0.... |
enhance\tsafety\tand\tprevent\tmistakes\tin\tthe\tpreparation\tof\tPN\t(\nBoullata\tet\tal,\t2014\n).\nA\tnumber\tof\tmedications,\tincluding\tantibiotics,\tvasopressors,\tnarcotics,\tdiuretics,\tand\tmany\tother\ncommonly\tadministered\tdrugs,\tcan\tbe\tcompounded\twith\tPN\tsolutions.\tIn\tpractice\tthis\toccurs\tinf... | [
-0.0008296782616525888,
-0.03924907371401787,
0.05416759103536606,
-0.04860306531190872,
-0.08491706848144531,
0.003016832284629345,
0.0937640517950058,
0.036690808832645416,
-0.029639996588230133,
0.04016277566552162,
0.08933719992637634,
0.016947437077760696,
0.03549738600850105,
0.07175... |
because\tit\trequires\tspecialized\tknowledge\tof\tphysical\tcompatibility\tor\tincompatibility\tof\tthe\tsolution\ncontents.\tThe\tmost\tcommon\tdrug\tadditives\tare\tinsulin\tfor\tpersistent\thyperglycemia\tand\thistamine-2\nantagonists\tto\tavoid\tgastroduodenal\tstress\tulceration.\tOne\tother\tconsideration\tis\tt... | [
-0.0027678883634507656,
-0.08720170706510544,
0.08432336151599884,
-0.04062637686729431,
-0.06163129583001137,
0.010101632215082645,
0.10482549667358398,
0.024110887199640274,
0.0674864798784256,
0.09296579658985138,
0.07129272073507309,
-0.051674190908670425,
0.025099845603108406,
0.01995... |
ordered\t24\thours\tbefore\tits\tadministration,\tand\tpatient\tstatus\tmay\thave\tchanged.\nAdministration\nThe\tmethods\tused\tto\tadminister\tPN\tare\taddressed\tafter\tthe\tgoal\tinfusion\trate\thas\tbeen\testablished.\tFor\ncritically\till\tand\thospitalized\tpatients,\ta\t24-hour\tinfusion\trate\tis\tused.\tHowev... | [
-0.002299327403306961,
-0.00895359180867672,
0.07612591236829758,
-0.041083924472332,
-0.12752790749073029,
-0.0028247328009456396,
0.054379213601350784,
0.01758512482047081,
0.014023646712303162,
0.008253202773630619,
0.10529789328575134,
0.02395777404308319,
0.02339237369596958,
0.014361... |
a\tlong\tterm\tor\tlifetime\tof\treceiving\tPN,\tinfusion\trate\tshould\tbe\tdecreased\tto\ta\t10-\tto\t12-hour\tcycle\tper\tday\nto\tcomplete\tactivities\tof\tdaily\tliving\tand\timprove\tquality\tof\tlife\t(\nKirby\tet\tal,\t2017\n).\tNevertheless,\tgeneral\nconsiderations\tas\tlisted\tin\t\nBox\t12.5\n\tcan\tbe\tapp... | [
-0.016022050753235817,
-0.017456308007240295,
0.040670063346624374,
-0.03513222187757492,
-0.07822408527135849,
0.016851279884576797,
0.08493419736623764,
0.010274624451994896,
-0.018406538292765617,
0.027600351721048355,
0.07171361148357391,
-0.018146976828575134,
0.03343918174505234,
0.0... |
Box\t12.5\n\tcan\tbe\tapplied\tto\talmost\tany\tprotocol.\nBOX\t12.5\nNutrition\tCare\tProcess\tfor\tEnteral\tand\tParenteral\tNutrition\nAssessment\n1.\t\nClinical\tstatus,\tincluding\tmedications\n2.\t\nFluid\trequirement\n3.\t\nRoute\tof\tadministration\n4.\t\nEnergy\t(kcal)\trequirement\n5.\t\nProtein\trequirement\... | [
0.004416814539581537,
-0.08241960406303406,
0.04338310658931732,
0.002912025898694992,
-0.1404663473367691,
0.014121745713055134,
0.0784744918346405,
0.037493746727705,
-0.029543934389948845,
0.03784043341875076,
0.04903006926178932,
-0.03360292315483093,
-0.02481560967862606,
-0.019343122... |
Carbohydrate/lipid\tconsiderations\n7.\t\nMicronutrient\tconsiderations\n8.\t\nFormula\tselection\tor\tPN\tsolution\tconsiderations\nA.\n\tConcentration\t(osmolarity)\nB.\n\tProtein\tcontent\nC.\n\tCarbohydrate/lipid\tcontent\nD.\n\tMicronutrient\tcontent\nE.\n\tSpecial\tformula\tconsiderations\n9.\t\nCalculations\nA.\... | [
-0.030183423310518265,
-0.11755573749542236,
0.011295442469418049,
-0.02130189910531044,
-0.09191405773162842,
0.04899393022060394,
0.05834498256444931,
0.07714728266000748,
-0.053358349949121475,
0.019505074247717857,
0.09306777268648148,
-0.04312635585665703,
-0.03337463364005089,
0.0203... |
A.\n\tEnergy:\tuse\tkcal/mL\tformula\nB.\n\tProtein:\tuse\tg/1000\tmL\nC.\n\tFat\tand\tmicronutrient\tconsiderations:\tunits/1000\tmL\nD.\n\tFluid\tconsiderations:\textra\twater,\tIV\tfluids\t(including\tmedications)\nNutrition\tdiagnosis\n1.\t\nIdentify\tthe\tproblems\taffecting\toral\tnutritional\tintake.\n2.\t\nIden... | [
-0.013130885548889637,
-0.07934270799160004,
0.03822288662195206,
-0.02590465359389782,
-0.048524901270866394,
0.005675897002220154,
0.09410811960697174,
0.09204310923814774,
-0.03188793733716011,
-0.006642971653491259,
0.10025075078010559,
-0.07186085730791092,
0.03699636459350586,
0.0391... |
3.\t\nWrite\tPES\tstatements.\tThese\tmay\tinclude\tinadequate\tor\texcess\tinfusion\tof\tenteral\tor\tparenteral\nnutrition,\tor\tother\tnutrition\tdiagnoses.\nIntervention\n1.\t\nEach\tproblem\tshould\thave\tan\tintervention\tand\ta\tway\tto\tevaluate\tit.\n2.\t\nRecommend\tmethod\tand\thow\tto\tbegin\tfeedings.\n3.\... | [
0.0106588713824749,
-0.051121365278959274,
0.06038719043135643,
0.0037964603397995234,
-0.07055900990962982,
0.0471169538795948,
0.12157851457595825,
-0.02519506774842739,
-0.027169035747647285,
0.08597800135612488,
0.10169591009616852,
-0.04000111669301987,
0.03960830718278885,
0.01676290... |
3.\t\nRecommend\thow\tto\tadvance\tfeedings.\n4.\t\nDetermine\thow\tfluids\twill\tbe\tgiven\tin\tadequate\tamounts.\n5.\t\nCalculate\tfinal\tfeeding\tprescription.\nMonitoring\tand\tevaluation | [
0.023905161768198013,
-0.053373776376247406,
0.0790785625576973,
-0.026489801704883575,
-0.08483020961284637,
0.020714137703180313,
0.09835303574800491,
-0.025516100227832794,
0.019970625638961792,
0.10309102386236191,
0.07082878798246384,
-0.09128882735967636,
-0.027497297152876854,
0.048... |
1.\t\nDescribe\tclinical\tsigns\tand\tsymptoms\tto\tmonitor\tfor\tfeeding\ttolerance.\n2.\t\nList\tlaboratory\tvalues\tand\tother\tmeasurements\tto\tbe\tmonitored.\n3.\t\nDetermine\thow\tfeeding\toutcomes\twill\n\tbe\tevaluated.\nIV\n,\tIntravenous;\t\nPES\n,\tproblem,\tetiology,\tand\tsigns\tand\tsymptoms;\t\nPN\n,\tp... | [
0.036801163107156754,
-0.03540853410959244,
0.055110614746809006,
-0.01915883459150791,
-0.0774482786655426,
0.005812850780785084,
0.09597314149141312,
0.01810341514647007,
-0.004520168993622065,
0.08023350685834885,
0.09456712007522583,
-0.06618030369281769,
0.028226327151060104,
0.045304... |
PN\n,\tparenteral\tnutrition.\nContinuous\tinfusion\nParenteral\tsolutions\tusually\tare\tinitiated\tbelow\tthe\tgoal\tinfusion\trate\tvia\ta\tvolumetric\tpump\tand\tthen\nincreased\tincrementally\tover\ta\t2-\tor\t3-day\tperiod\tto\tattain\tthe\tgoal\tinfusion\trate.\tSome\tclinicians\tstart\tPN\nbased\ton\tthe\tamoun... | [
-0.021814614534378052,
-0.04063878580927849,
0.07072661817073822,
-0.031798675656318665,
-0.13649024069309235,
-0.01330689899623394,
0.0775565579533577,
-0.00017182619194500148,
0.02545168809592724,
0.039234817028045654,
0.09847559034824371,
-0.035212960094213486,
0.004534887615591288,
0.0... |
based\ton\tthe\tamount\tof\tdextrose,\twith\tinitial\n\tprescriptions\tcontaining\t100\tto\t200\tg\tdaily\tand\tadvancing\nover\ta\t2-\tor\t3-day\tperiod\tto\ta\tfinal\tgoal.\tWith\thigh\tdextrose\tconcentrations,\tabrupt\tcessation\tof\tCPN\tshould\nbe\tavoided,\tparticularly\tif\tthe\tpatient’s\tglucose\ttolerance\ti... | [
-0.015372702851891518,
-0.010417426936328411,
0.04485958442091942,
-0.05093644559383392,
-0.15237580239772797,
-0.001688062329776585,
0.09557554125785828,
0.04726231470704079,
-0.0004897015169262886,
0.00023890857119113207,
0.06753179430961609,
0.01797056943178177,
0.0726093128323555,
0.01... |
to\ttaper\tthe\trate\tof\tinfusion\tin\tan\tunstable\tpatient\tto\tprevent\t\nrebound\thypoglycemia\n,\tlow\tblood\tsugar\nlevels\tresulting\n\tfrom\tabrupt\tcessation.\tFor\tmost\tstable\tpatients\tthis\tis\tnot\tnecessary.\nCyclic\tinfusion\nIndividuals\twho\trequire\tPN\tat\thome\tbenefit\tfrom\ta\tcyclic\tinfusion;... | [
-0.029434101656079292,
-0.029486138373613358,
0.02541825734078884,
-0.05858096107840538,
-0.12879322469234467,
0.012309650890529156,
0.09243834763765335,
0.041340421885252,
-0.00387697690166533,
0.003966961987316608,
0.08631095290184021,
-0.005654044449329376,
0.060804061591625214,
0.02496... |
hour\tperiods,\tusually\tat\tnight.\tThis\tallows\tthe\tperson\tto\thave\ta\tfree\tperiod\tof\t12\tto\t16\thours\teach\tday,\nwhich\tmay\timprove\tquality\tof\tlife.\tThe\tgoal\tcycle\tfor\tinfusion\ttime\tis\testablished\tincrementally\n\twhen\ta\nhigher\trate\tof\tinfusion\tor\ta\tmore\tconcentrated\tsolution\tis\tre... | [
-0.01438590046018362,
-0.035587769001722336,
0.06002309173345566,
-0.0392480231821537,
-0.11885852366685867,
0.011156504042446613,
0.06129303202033043,
-0.0024202996864914894,
-0.003608810482546687,
0.05420909821987152,
0.07395470887422562,
-0.05040886253118515,
0.05944080650806427,
0.0215... |
attempted\tif\tglucose\tintolerance\tor\tfluid\ttolerance\tis\ta\tproblem.\tThe\tpumps\tused\tfor\thome\tinfusion\tof\tPN\nare\tsmall\tand\tconvenient,\tallowing\tmobility\tduring\tdaytime\tinfusions.\tAdministration\ttime\tmay\tbe\ndecreased\tbecause\tof\tpatient\tambulation\tand\tbathing,\ttests\tor\tother\ttreatment... | [
-0.006538613233715296,
-0.0474124401807785,
0.05054275691509247,
-0.006985864602029324,
-0.11268336325883865,
0.0031108332332223654,
0.08585761487483978,
0.044523876160383224,
0.011113360524177551,
0.016857028007507324,
0.08989042043685913,
-0.0025809411890804768,
0.051024459302425385,
0.0... |
administration\tof\tmedications,\tor\tother\ttherapies.\nMonitoring\tand\tevaluation\nAs\twith\tenteral\tfeeding,\troutine\tmonitoring\tof\tPN\tis\tnecessary\tmore\tfrequently\tfor\tthe\tpatient\treceiving\tPN\nin\tthe\thospital\t(\nMundi\tet\tal,\t2017\n).\tFor\tpatients\treceiving\tHPN,\tinitial\tmonitoring\tis\tdone... | [
-0.01685524731874466,
-0.0013526974944397807,
0.021786153316497803,
-0.043008025735616684,
-0.0959942564368248,
0.018197814002633095,
0.06146084517240524,
0.02885739505290985,
0.02892952226102352,
0.018976114690303802,
0.11883582919836044,
0.0008971482166089118,
0.011826000176370144,
0.068... |
or\tless\tfrequently\tas\tthe\tpatient\tbecomes\tmore\tstable\ton\tPN.\tMonitoring\tis\tdone\tnot\tonly\tto\tevaluate\nresponse\tto\ttherapy\tbut\talso\tto\tensure\tcompliance\twith\tthe\ttreatment\tplan\t(\nKirby\tet\tal,\t2017\n).\nComplications\nInfection\nThe\tprimary\tcomplication\tassociated\twith\tPN\tis\tinfect... | [
0.01912182942032814,
-0.01771995984017849,
0.041772712022066116,
-0.046050213277339935,
-0.13315080106258392,
0.0012985838111490011,
0.04019864648580551,
0.03180629387497902,
0.029660962522029877,
0.03600810468196869,
0.11794549226760864,
-0.004013513680547476,
0.06696140021085739,
0.05547... |
Box\t12.6\n).\tTherefore\tstrict\tadherence\tto\nprotocols\tand\tmonitoring\tfor\tsigns\tof\tinfection\tsuch\tas\tchills,\tfever,\ttachycardia,\tsudden\thyperglycemia,\tor\nelevated\twhite\tblood\tcell\tcount\tare\tnecessary.\tMonitoring\tof\n\tmetabolic\ttolerance\tis\talso\tcritical.\nElectrolytes,\tacid-base\tbalanc... | [
0.003169913310557604,
-0.06036274880170822,
0.0223483107984066,
-0.004419758915901184,
-0.06363143771886826,
0.011315902695059776,
0.07331626117229462,
0.07094970345497131,
-0.013914107345044613,
0.04009342938661575,
0.07999955862760544,
-0.020238369703292847,
0.022816112264990807,
0.04539... |
hemodynamic\tstability\n\t(maintenance\tof\tadequate\tblood\tpressure)\tcan\tbe\taffected\tby\tPN\tand\tshould\tbe\nmonitored\tcarefully.\t\nTable\t12.6\n\tlists\tparameters\tthat\tshould\tbe\tmonitored\troutinely.\nBOX\t12.6\nParenteral\tNutrition\tComplications\nMechanical\tcomplications\nAir\n\tembolism\nArterioveno... | [
-0.011795715428888798,
-0.04629331827163696,
0.0547330379486084,
-0.0007577866199426353,
-0.0941191166639328,
-0.007681452203541994,
0.038596514612436295,
0.046805113554000854,
-0.05554582551121712,
0.050656866282224655,
0.07519116997718811,
0.014152372255921364,
0.0028189681470394135,
0.0... |
Brachial\tplexus\tinjury\nCatheter\tfragment\tembolism\nCatheter\tmisplacement\nCardiac\tperforation\nCentral\tvein\tthrombophlebitis\nEndocarditis\nHemothorax\nHydromediastinum\nHydrothorax\nPneumothorax\tor\ttension\tpneumothorax\nSubcutaneous\temphysema\nSubclavian\tartery\tinjury\nSubclavian\thematoma\nThoracic\tdu... | [
0.03147142380475998,
-0.0013731144135817885,
-0.014115099795162678,
-0.0044131213799119,
-0.07301190495491028,
-0.00008758855983614922,
0.022683987393975258,
0.026914067566394806,
-0.07957194745540619,
0.0714903399348259,
0.03734654560685158,
-0.03775429353117943,
0.0568198636174202,
0.071... |
Thoracic\tduct\tinjury\nInfection\tand\tsepsis\nCatheter\tentrance\tsite\nCatheter\tseeding\tfrom\tbloodborne\tor\tdistant\tinfection\nContamination\tduring\tinsertion\nLong-term\tcatheter\tplacement\nSolution\tcontamination\nMetabolic\tcomplications | [
0.05368564650416374,
-0.033646900206804276,
0.04979630559682846,
-0.03712122514843941,
-0.07540541142225266,
0.01279504969716072,
0.07615233212709427,
0.054489899426698685,
-0.020520061254501343,
0.0941791981458664,
0.07978687435388565,
-0.05707433447241783,
0.0530986413359642,
0.087217755... |
Dehydration\tfrom\tosmotic\tdiuresis\nElectrolyte\timbalance\nEssential\tfatty\tacid\tdeficiency\nHyperosmolar,\tnonketotic,\thyperglycemic\tcoma\nHyperammonemia\nHypercalcemia\nHyperchloremic\tmetabolic\tacidosis\nHyperlipidemia\nHyperphosphatemia\nHypocalcemia\nHypomagnesemia\nHypophosphatemia | [
0.0025528084952384233,
-0.07189404964447021,
0.031379275023937225,
0.017786089330911636,
-0.04918336868286133,
-0.03232862800359726,
0.10020933300256729,
0.0963476225733757,
-0.049721769988536835,
0.031841352581977844,
0.014207851141691208,
-0.06394140422344208,
0.04572519659996033,
0.0145... |
Hyperphosphatemia\nHypocalcemia\nHypomagnesemia\nHypophosphatemia\nRebound\thypoglycemia\ton\tsudden\tcessation\tof\tPN\tin\tpatient\twith\tunstable\tglucose\tlevels\nUremia\nTrace\tmineral\tdeficiencies\nGastrointestinal\tcomplications\nCholestasis\nGastrointestinal\tvillous\tatrophy\nHepatic\tabnormalities | [
0.0004781606839969754,
-0.027524031698703766,
0.018570274114608765,
0.010357102379202843,
-0.08124825358390808,
-0.005436856299638748,
0.0821501761674881,
0.07443838566541672,
-0.06380338221788406,
0.06116753816604614,
0.024741753935813904,
0.014193014241755009,
0.07350055873394012,
0.0092... |
Cholestasis\nGastrointestinal\tvillous\tatrophy\nHepatic\tabnormalities\nAdapted\tfrom\tMcClave\tSA\tet\tal:\tGuidelines\tfor\tthe\tprovision\tand\tassessment\tof\tnutrition\tsupport\ttherapy\tin\tthe\nadult\n\tcritically\till\tpatient,\t\nJ\tParenter\tEnteral\tNutr\n\t33:277,\t2009.\nTABLE\t12.6\nInpatient\tParenteral... | [
0.0032175795640796423,
-0.09757637977600098,
0.04381734877824783,
-0.018741680309176445,
-0.13201136887073517,
-0.053851593285799026,
0.010096880607306957,
0.115922711789608,
-0.02697627618908882,
-0.012596274726092815,
0.05405992642045021,
0.03148645535111427,
0.023114794865250587,
0.0460... |
SUGGESTED\tFREQUENCY\nVariable\tto\tbe\tMonitored\nInitial\tPeriod\n*\nLater\tPeriod\n*\nWeight\nDaily\nWeekly\nSerum\telectrolytes\nDaily\n1-2/wk\nBlood\turea\tnitrogen\n3/wk\nWeekly\nSerum\ttotal\tcalcium\tor\tionized\tCa\n+\n,\tinorganic\tphosphorus,\tmagnesium\n3/wk\nWeekly\nSerum\tglucose\nDaily\n3/wk\nSerum\ttrig... | [
-0.019094450399279594,
-0.1279027760028839,
-0.0023163778241723776,
-0.013629847206175327,
-0.10188799351453781,
-0.05784708261489868,
0.08606535196304321,
0.07627128809690475,
-0.01043066568672657,
0.03244607895612717,
0.08495551347732544,
-0.03675229474902153,
0.020459076389670372,
0.071... |
Serum\ttriglycerides\nWeekly\nWeekly\nLiver\tfunction\tenzymes\n3/wk\nWeekly\nHemoglobin,\thematocrit\nWeekly\nWeekly\nPlatelets\nWeekly\nWeekly\nWBC\tcount\nAs\tindicated\nAs\tindicated\nClinical\tstatus\nDaily\nDaily\nCatheter\tsite\nDaily\nDaily\nTemperature\nDaily\nDaily\nI&O\nDaily\nDaily\n* | [
0.022703126072883606,
-0.0564190074801445,
0.02212987281382084,
-0.020904555916786194,
-0.042104896157979965,
0.010377341881394386,
0.09014606475830078,
0.05278149992227554,
-0.05893528833985329,
0.03930765390396118,
0.10009590536355972,
-0.06491319835186005,
-0.022752808406949043,
0.01470... |
Catheter\tsite\nDaily\nDaily\nTemperature\nDaily\nDaily\nI&O\nDaily\nDaily\n*\nInitial\tperiod\tis\tthat\tperiod\tin\twhich\ta\tfull\tglucose\tintake\tis\tbeing\tachieved.\tLater\tperiod\timplies\tthat\tthe\tpatient\thad\tachieved\ta\tsteady\tmetabolic\tstate.\tIn\tthe\npresence\tof\tmetabolic\tinstability,\tthe\tmore\... | [
0.010589650832116604,
-0.023125097155570984,
0.05743163451552391,
-0.02477695420384407,
-0.14395461976528168,
-0.0019459337927401066,
0.040344029664993286,
0.014298582449555397,
-0.006018029060214758,
-0.00734749948605895,
0.07747790217399597,
-0.01837947778403759,
0.006873561535030603,
0.... |
outlined\tunder\tinitial\tperiod\tshould\tbe\tfollowed.\nI&O,\n\tIntake\tand\toutput;\t\nWBC,\n\twhite\tblood\tcell.\nI&O\trefers\tto\tall\tfluids\tgoing\tinto\tthe\tpatient:\toral,\tintravenous,\tmedication;\tand\tall\tfluid\tcoming\tout:\turine,\tsurgical\tdrains,\texudates. | [
0.006346383132040501,
0.02974328212440014,
0.06102994084358215,
-0.034497570246458054,
-0.1625417321920395,
-0.010103167966008186,
0.11294303089380264,
0.04347631707787514,
0.03567925840616226,
0.010890471749007702,
0.031567201018333435,
-0.029035313054919243,
0.019255919381976128,
0.00683... |
McClave\tSA\tet\tal:\tGuidelines\tfor\tthe\tprovision\tand\tassessment\tof\tnutrition\tsupport\ttherapy\tin\tthe\tadult\tcritically\till\tpatient,\t\nJ\tParenter\tEnteral\tNutr\n\t33:277,\n2009.\nThe\tCPN\tcatheter\tsite\tis\ta\tpotential\tsource\tfor\tintroduction\tof\tmicroorganisms\tinto\ta\tmajor\tvein. | [
-0.03456850349903107,
-0.08041912317276001,
0.021644115447998047,
-0.05909065157175064,
-0.09811362624168396,
0.009557950310409069,
0.04709529131650925,
0.10787613689899445,
0.0237063430249691,
0.009413585066795349,
0.07095355540513992,
-0.006735567934811115,
-0.0035707612987607718,
0.0756... |
Protocols\tto\tprevent\tinfection\tvary\tand\tshould\tfollow\tCenters\tfor\tDisease\tControl\tand\tPrevention\nguidelines\t(\nO’Grady\tet\tal,\t2011\n).\tCatheter\tcare\tand\tprevention\tof\tcatheter-related\tbloodstream\tinfections\nare\tof\tutmost\timportance\tin\tthe\thospital\tand\talternate\tsettings.\tThese\tinfe... | [
0.010680029168725014,
0.003012634115293622,
0.034901946783065796,
-0.06836490333080292,
-0.08427239209413528,
0.0006813069921918213,
0.1027977466583252,
-0.02604144997894764,
-0.0011935411021113396,
0.01909729279577732,
0.08199264854192734,
-0.021133992820978165,
0.07417751103639603,
0.044... |
only\tare\tcostly\tbut\nalso\tmay\tbe\tlife-threatening.\tCatheter\tcare\tis\tdictated\tby\tthe\tsite\tof\tthe\tcatheter\tand\tthe\tsetting\tin\twhich\nthe\tpatient\treceives\tcare.\nRefeeding\tsyndrome\nPatients\twho\trequire\tenteral\tor\tPN\ttherapies\tmay\thave\tbeen\teating\tpoorly\tbefore\tinitiating\ttherapy | [
0.0217032078653574,
-0.031145304441452026,
0.07139548659324646,
-0.03441861644387245,
-0.09384771436452866,
0.024312401190400124,
0.08638745546340942,
-0.015666356310248375,
0.03617456555366516,
0.017375551164150238,
0.07646595686674118,
-0.0148600023239851,
0.023920267820358276,
0.0496430... |
because\tof\tthe\tdisease\tprocess\tand\tmay\tbe\tmoderately\tto\tseverely\tmalnourished.\tAggressive\nadministration\tof\tnutrition,\n\tparticularly\tvia\tthe\tintravenous\troute,\tcan\tprecipitate\t\nrefeeding\tsyndrome\nwith\tsevere,\tpotentially\tlethal\telectrolyte\tfluctuations\tinvolving\tmetabolic,\themodynamic... | [
0.018285086378455162,
-0.06464175134897232,
0.057174187153577805,
0.0124842943623662,
-0.04709036648273468,
0.04362554848194122,
0.037933796644210815,
0.08179009705781937,
0.037124451249837875,
0.07482223957777023,
0.05881904438138008,
-0.04183473438024521,
-0.008100667037069798,
0.0224283... |
neuromuscular\tproblems.\tRefeeding\tsyndrome\toccurs\twhen\tenergy\tsubstrates,\tparticularly\tcarbohydrate,\nare\tintroduced\tinto\tthe\tplasma\tof\tanabolic\tpatients.\nProliferation\tof\tnew\ttissue\trequires\tincreased\tamounts\tof\tglucose,\tpotassium,\n\tphosphorus,\tmagnesium, | [
0.01857743225991726,
-0.05506134778261185,
0.002711124252527952,
-0.014539879746735096,
-0.1388682723045349,
0.0021274054888635874,
0.08433151245117188,
0.0598842017352581,
-0.08109842240810394,
0.04302500933408737,
0.07857923954725266,
-0.0283726267516613,
0.03497731313109398,
0.051359876... |
phosphorus,\tmagnesium,\nand\tother\tnutrients\tessential\tfor\ttissue\tgrowth.\tIf\tintracellular\telectrolytes\tare\tnot\tsupplied\tin\tsufficient | [
-0.0484018474817276,
-0.09464796632528305,
0.021461209282279015,
-0.030784936621785164,
0.009716332890093327,
0.004855767823755741,
0.12846843898296356,
0.00919860415160656,
-0.009523515589535236,
0.07942964881658554,
0.05842285603284836,
-0.031247304752469063,
0.004380049183964729,
0.0582... |
quantity\tto\tkeep\tup\twith\ttissue\tgrowth,\tlow\tserum\tlevels\tof\tpotassium,\tphosphorus,\tand\tmagnesium\ndevelop.\tLow\tlevels\tof\tthese\telectrolytes\tare\tthe\thallmark\tof\trefeeding\tsyndrome,\tespecially\nhypophosphatemia\t(\nSkipper,\t2012\n).\tCarbohydrate\tmetabolism\tby\tcells\talso\tcauses\n\ta\tshift... | [
-0.0067434161901474,
-0.1010977104306221,
0.02509418874979019,
-0.040701910853385925,
-0.07363375276327133,
-0.038540273904800415,
0.10849049687385559,
0.07316403836011887,
-0.01376145426183939,
0.05291159078478813,
0.09969388693571091,
-0.0018053415697067976,
0.05509651452302933,
0.041090... |
a\tshift\tof\telectrolytes\tto\nthe\tintracellular\tspace\tas\tglucose\tmoves\tinto\tcells\tfor\toxidation.\tRapid\tinfusion\tof\tcarbohydrate\tstimulates\ninsulin\trelease,\twhich\treduces\tsalt\tand\twater\texcretion\tand\tincreases\tthe\tchance\tof\tcardiac\tand\tpulmonary\ncomplications\tfrom\tfluid\toverload. | [
-0.015912195667624474,
-0.08044314384460449,
0.01919122412800789,
-0.029489299282431602,
-0.08296025544404984,
-0.0288325697183609,
0.12336325645446777,
0.015692023560404778,
0.008394039236009121,
0.052244413644075394,
0.07695036381483078,
-0.0653650313615799,
0.02258266694843769,
0.046725... |
complications\tfrom\tfluid\toverload.\nPatients\tstarting\ton\tPN\twho\thave\treceived\tminimal\tnutrition\tfor\ta\tsignificant\tperiod\tshould\tbe\tmonitored\nclosely\tfor\telectrolyte\n\tfluctuation\tand\tfluid\toverload.\tA\treview\tof\tbaseline\tlaboratory\tvalues,\tincluding\nglucose,\tmagnesium,\tpotassium,\tand\... | [
-0.006380777806043625,
-0.037888940423727036,
0.05350995436310768,
-0.01590357907116413,
-0.061668310314416885,
-0.05436839908361435,
0.09916479885578156,
0.06903687864542007,
-0.0426272377371788,
0.028952982276678085,
0.0805719792842865,
-0.000666190346237272,
0.01758447289466858,
0.04339... |
before\tinitiating\tnutrition\tsupport,\tparticularly\tPN.\tConservative\tamounts\tof\tcarbohydrate\tand\tadequate\namounts\tof\tintracellular\telectrolytes\tshould\tbe\tprovided.\tThe\tinitial\tPN\tformulation\tusually\tshould\tcontain\n25%\tto\t50%\tof\tgoal\tdextrose\tconcentration\tand\tbe\tincreased\tslowly\tto\ta... | [
-0.01912768930196762,
-0.0798620954155922,
0.015952765941619873,
-0.07886278629302979,
-0.09842900931835175,
-0.028942584991455078,
0.12376409769058228,
0.040170956403017044,
0.03562488406896591,
0.04595690593123436,
0.12992089986801147,
-0.0031030853278934956,
0.032775525003671646,
0.0618... |
hypophosphatemia,\thypokalemia,\tand\thypomagnesemia.\tPN\tcompatibilities\tmust\tbe\tassessed\twhen\tvery\nlow\tlevels\tof\tdextrose\tare\tprovided\twith\thigher\tlevels\tof\tamino\tacids\tand\telectrolytes.\tThe\tsyndrome\talso\noccurs\tin\tenterally\tfed\tpatients,\tbut\tless\toften\tbecause\tof\tthe\teffects\tof\tt... | [
-0.005753762554377317,
-0.009968586266040802,
0.032840024679899216,
-0.02138967253267765,
-0.0464438796043396,
-0.0364091694355011,
0.0718754380941391,
0.08664193004369736,
-0.02841765806078911,
0.020286686718463898,
0.03387267142534256,
0.029678259044885635,
0.07348882406949997,
-0.001818... |
In\tmanaging\tthe\tnutrition\tcare\tprocess,\trefeeding\tsyndrome\tis\tan\tundesirable\toutcome\tthat\trequires\nmonitoring\tand\tevaluation.\tMost\toften,\tthe\tnutrition\tdiagnosis\tmay\tbe\t“excessive\tcarbohydrate\tintake”\tor\n“excessive\tinfusion\tfrom\tenteral\tor\tparenteral\tnutrition”\tin\tthe\tundernourished... | [
0.03151818364858627,
0.0032446032855659723,
0.0581432469189167,
-0.0034526700619608164,
-0.08331853896379471,
-0.008453520946204662,
0.11607786267995834,
0.05760255828499794,
-0.008957545273005962,
-0.00388193572871387,
0.05187663808465004,
-0.018348103389143944,
0.04416880011558533,
0.031... |
phase\tof\trefeeding,\tnutrient\tprescriptions\tshould\tbe\tmoderate\tin\tcarbohydrate\tand\tsupplemented\n\twith\nphosphorus,\tpotassium,\tand\tmagnesium.\nTransitional\tfeeding\nAll\tnutrition\tsupport\tcare\tplans\tstrive\tto\tuse\tthe\tGIT\twhen\tpossible,\teither\twith\tEN\tor\tby\ta\ttotal\tor\tpartial\nreturn\tt... | [
-0.003491991199553013,
-0.06366247683763504,
0.04708598181605339,
0.0006713486509397626,
-0.10915927588939667,
0.015556574799120426,
0.08273134380578995,
0.028374476358294487,
-0.000290425872663036,
0.007886837236583233,
0.10879461467266083,
-0.00994683988392353,
0.053028445690870285,
0.02... |
transitional\tfeeding\n,\tmoving\tfrom\none\ttype\tof\tfeeding\tto\tanother,\twith\tseveral\tfeeding\tmethods\tused\tsimultaneously\twhile\tcontinuously\nadministering\n\testimated\tnutrient\trequirements.\tThis\trequires\tcareful\tmonitoring\tof\tpatient\ttolerance\tand | [
0.02086266316473484,
-0.06483810395002365,
0.046542003750801086,
0.0008918365929275751,
-0.0902162566781044,
0.008156107738614082,
0.08145280927419662,
0.028894269838929176,
0.003963872790336609,
-0.023888280615210533,
0.11626721918582916,
-0.03364556282758713,
0.012891341932117939,
0.0194... |
quantification\tof\tintake\tfrom\tparenteral,\tenteral,\tand\toral\troutes.\tMost\texperts\tadvise\tthat\tinitial\toral\tdiets\nbe\tlow\tin\tsimple\tcarbohydrates\tand\tfat,\tas\twell\tas\tlactose\tfree.\tThese\tprovisions\tmake\tdigestion\teasier\tand\nminimize\tthe\tpossibility\tof\tosmotic\tdiarrhea.\tAttention\tto\... | [
0.043227434158325195,
-0.048742808401584625,
0.058535076677799225,
0.0012458300916478038,
-0.0510459840297699,
0.0008435662020929158,
0.08996468037366867,
0.009686847217381,
0.0011669297236949205,
0.0747501328587532,
0.12168754637241364,
-0.08073381334543228,
0.020533856004476547,
0.037518... |
preferences\talso\nhelps\tmaximize\tintake.\tDuring\tthe\ttransition\tstage\tfrom\tHPN\tto\t\nhome\tenteral\tnutrition\t(HEN)\n\tor\tan\noral\tdiet,\tcareful\tattention\tshould\tbe\tpaid\tto\tassuring\tmultivitamin\tand\tmineral\tadequacy.\tThis\tmay\trequire\nlaboratory\tassessment\tof\tmicronutrients\tif\ta\tdeficien... | [
0.031724005937576294,
-0.058342792093753815,
0.050029728561639786,
0.036529939621686935,
-0.06443388760089874,
0.039411332458257675,
0.10139661282300949,
0.0383421964943409,
-0.006787549238651991,
0.04706338793039322,
0.11650585383176804,
-0.01924247108399868,
0.01640152372419834,
0.020709... |
Parenteral\tto\tenteral\tfeeding\nTo\tbegin\tthe\ttransition\tfrom\tPN\tto\tEN,\tintroduce\ta\tminimal\tamount\tof\tenteral\n\tfeeding\tat\ta\tlow\trate\tof\t30\tto\n40\tmL/hr\tto\testablish\tgastrointestinal\ttolerance.\tWhen\tthere\tis\tsevere\tgastrointestinal\tcompromise,\npredigested\tformula\tto\tinitiate\tentera... | [
0.04245579242706299,
-0.09323035180568695,
0.025836734101176262,
-0.023973437026143074,
-0.09805093705654144,
-0.021522924304008484,
0.040888313204050064,
0.05158592760562897,
-0.020266596227884293,
0.028211068361997604,
0.12130066752433777,
0.004688201937824488,
0.027660202234983444,
0.05... |
during\ta\tperiod\tof\thours,\tthe\tparenteral\trate\tcan\tbe\tdecreased\tto\tkeep\tthe\tnutrient\tlevels\tat\tthe\tsame\nprescribed\tamount.\tAs\tthe\tenteral\trate\tis\tincreased\tby\t25\n\tto\t30\tmL/hr\tincrements\tevery\t8\tto\t24\thours,\tthe\nparenteral\tprescription\tis\treduced\taccordingly.\tOnce\tthe\tpatien... | [
0.031766362488269806,
-0.03577123582363129,
0.027303028851747513,
-0.03310589864850044,
-0.1260930299758911,
-0.011377615854144096,
0.08873643726110458,
0.033154819160699844,
0.04803306236863136,
-0.004428843501955271,
0.08299650251865387,
-0.005130595527589321,
0.05481208488345146,
0.0404... |
by\tthe\tenteral\troute,\tthe\tPN\tsolution\tcan\tbe\tdiscontinued.\tThis\tprocess\tideally\ttakes\t2\tto\t3\tdays;\thowever,\nit\tmay\tbecome\tmore\tcomplicated\tdepending\ton\tthe\tdegree\tof\tgastrointestinal\tfunction.\tAt\ttimes\tthe\nweaning\tprocess\tmay\tnot\tbe\tpractical,\n\tand\tPN\tcan\tbe\tstopped\tsooner,... | [
0.013685381971299648,
-0.08256709575653076,
0.05329112708568573,
-0.05462479591369629,
-0.11776500195264816,
-0.000010329921678930987,
0.08229018747806549,
0.013037130236625671,
-0.018700426444411278,
0.044930629432201385,
0.0945664793252945,
-0.011107098311185837,
0.037154778838157654,
0.... |
and\tPN\tcan\tbe\tstopped\tsooner,\tdepending\ton\toverall\ttreatment\ndecisions\tand\tlikelihood\tfor\ttolerance\tof\tenteral\tfeeding.\nParenteral\tto\toral\tfeeding\nThe\ttransition\tfrom\tparenteral\tto\toral\tfeeding\tideally\tis\taccomplished\tby\tmonitoring\toral\tintake\tand | [
0.02200816571712494,
-0.047729067504405975,
0.06634291261434555,
-0.030858809128403664,
-0.1211245059967041,
0.0009881684090942144,
0.09228435903787613,
-0.046337924897670746,
0.002682768739759922,
0.06047976762056351,
0.13755807280540466,
-0.03988105431199074,
0.019865278154611588,
0.0364... |
concomitantly\tdecreasing\tthe\tPN\tto\tmaintain\ta\tstable\tnutrient\tintake.\tApproximately\t75%\tof\tnutrient\tneeds\nshould\tbe\tmet\tconsistently\tby\toral\tintake\n\tbefore\tthe\tPN\tis\tdiscontinued.\tThe\tprocess\tis\tless\tpredictable\nthan\tthe\ttransition\tto\tenteral\tfeeding.\tVariations\tinclude\tthe\tpat... | [
0.024647898972034454,
-0.06483159214258194,
0.04534916579723358,
-0.022691337391734123,
-0.12487520277500153,
0.004542952869087458,
0.09816637635231018,
0.012942047789692879,
-0.014950578100979328,
0.005197710357606411,
0.14013513922691345,
-0.022321678698062897,
0.042164698243141174,
0.05... |
well-being.\tIt\tis\timportant\tto\tcontinue\tmonitoring\tthe\tpatient\tfor\tadequate\toral\tintake\tonce\tPN\thas\tbeen\nstopped\tand\tto\tinitiate\talternate\tnutrition\tsupport\tif\tnecessary.\tGenerally,\tpatients\tare\ttransitioned\tfrom\nclear\tliquids\n\tto\ta\tdiet\tthat\tis\tlow\tin\tfiber\tand\tfat\tand\tis\t... | [
0.037295740097761154,
-0.007914087735116482,
0.11489520221948624,
0.01728816144168377,
-0.08317122608423233,
0.0033641052432358265,
0.10847201198339462,
-0.003647970501333475,
-0.016335584223270416,
0.015641625970602036,
0.0804930105805397,
-0.021092642098665237,
-0.01144688855856657,
0.03... |
regain\tfunction;\tduring\tthat\ttime,\tthe\tdiet\tshould\tbe\tcomposed\tof\teasily\tdigested\tfoods.\nSpecial\tnutrient\tneeds\tcan\tbe\temployed,\tespecially\twhen\ttransitioning\ta\tpatient\twith\tgastrointestinal\ndisorders\tsuch\tas\tshort\tbowel\tsyndrome.\tSpecialized\tnutrients,\toptimized\tdrug\ttherapy,\tand\... | [
-0.029247036203742027,
-0.08195491880178452,
0.025391770526766777,
0.033243533223867416,
-0.10110238939523697,
0.014338873326778412,
0.057723015546798706,
0.04804454743862152,
-0.04092518240213394,
-0.05611075833439827,
0.07931134849786758,
0.02685662917792797,
0.010493305511772633,
0.0009... |
counseling\n\tshould\tbe\tcomprehensive\tto\timprove\toutcome.\tSome\tPN\tpatients\tmay\tnot\tbe\table\tto\ndiscontinue\tPN\tfully\tbut\tmay\tbe\table\tto\tuse\tPN\tless\tthan\t7\tdays\tper\tweek,\tnecessitating\tcareful\tattention\nto\tnutrient\tintake.\tA\tskilled\tRDN\tcan\tcoordinate\tdiet\tand\tPN\tneeds\tfor\tthi... | [
-0.024382026866078377,
-0.0305386483669281,
0.013142344541847706,
0.022509809583425522,
-0.09533357620239258,
0.033916015177965164,
0.0681825578212738,
0.020496036857366562,
-0.007274399045854807,
-0.025501536205410957,
0.06605713069438934,
-0.02020307071506977,
0.022914154455065727,
0.052... |
Enteral\tto\toral\tfeeding\nA\tstepwise\tdecrease\talso\tis\tused\tto\ttransition\tfrom\tEN\tto\toral\tfeeding.\tIt\tis\teffective\tto\n\tmove\tfrom\ncontinuous\tfeeding\tto\ta\t12-\tand\tthen\tan\t8-hour\tformula\tadministration\tcycle\tduring\tthe\tnight;\tthis\nreestablishes\thunger\tand\tsatiety\tcues\tfor\toral\ti... | [
0.0007718891138210893,
-0.04213899001479149,
0.09400536864995956,
-0.007495763711631298,
-0.11592129617929459,
0.038367122411727905,
0.07992280274629593,
-0.026132110506296158,
0.008053014054894447,
0.017733193933963776,
0.09561653435230255,
-0.028978649526834488,
0.038182783871889114,
0.0... |
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