Chapter 073. Enteral and Parenteral Nutrition (Part 2)
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Decision-making for the implementation of specialized nutrition support (SNS). CVC, central venous catheter; PICC, peripherally inserted central catheter. (Adapted from previous chapter by Lyn Howard, MD.) The first step in deciding to administer SNS is to consider the nutritional implications of the disease process. Is the condition or its treatment likely to impair food intake and absorption for a prolonged period of time? For example, a well-nourished individual can tolerate approximately 7 days of starvation while experiencing a systemic response to inflammation (SRI). The second step is to determine if the patient is already significantly malnourished to the degree that...
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