ASPEN Parenteral Nutrition Handbook

Level 2-3 CPE

CPE Type: Enduring 741

Upon successful completion, the users will be able to:

1.    Discuss three criteria for diagnosing malnutrition in a child, adult, and older adult.

2.    Explain three contraindications for using parenteral nutrition.

3.    Compare and contrast the following parenteral  access devices: peripherally inserted central catheter (PICC), ports/implanted catheters, tunneled catheters, femoral line, percutaneous nontunneled catheters.

4.    Discuss two functions and precautions in a PN solution of the following: amino acids (AA), intravenous lipid emulsion (ILE), Dextrose (D), and glycerol.

5.    Discuss four considerations unique to using PN for infants.

6.    Describe three precautions for an adult who is nutritionally at risk starting on EN/PN feedings.

7.    Describe the nutritional considerations in an infant or adult on EN/PN for the following: carnitine, iron, thiamine, magnesium, phosphorus, potassium, vitamin D, vitamin K, fiber, and MCT.

8.    Give four PN guidelines for safely beginning, tapering and preventing refeeding syndrome.

9.    Discuss two considerations when regulating fluid intake when a person is on PN.

10.  Describe the training needed to become a privileged PN provider, PN bedside nurse, or dietitian order writer.

11.  Describe the precautions for safely starting home parenteral nutrition (HPN).

12.  Describe the recommended nutrition therapy guidelines for monitoring PN and HPN.