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Anez-Bustillos L, Dao DT, Baker MA, Fell GL, Puder M, Gura KM. Intravenous Fat Emulsion Formulations for the Adult and Pediatric Patient: Understanding the Differences. Nutr Clin Pract. 2016 Oct;31(5):596-609. doi: 10.1177/0884533616662996. Epub 2016 Aug 16. Review. PubMed PMID: 27533942; PubMed...

Parenteral nutrition energy support titration - Titrate PN support to enteral advancement as dictated per primary team. - For patients with no anticipated advancements in enteral feeds, consider serial physiological advancements in PN to maintain normal growth/development. - If weight/height...

Approximately 60% of non-protein energy should be supplied as carbohydrates. Aim to maintain normal blood sugar levels (between 80-110 mg/dl, at least PN cycling Infants at around 2 months-old can often tolerate cycling. Taper on by starting with one half the hourly rate for 30 to 60 minutes. Taper...

Maximal daily provision = 2-2.5 g/kg/day CAUTION: If providing >2 gram/kg/day (Weight risks/benefits with attending physician and family) Maximal infusion rate of 0.15-0.17 mg/kg/hour Maximal lipid-to-energy ratio of 25%. Types of intravenous lipid emulsions ilipids available in the US: Intralipid...

Social media Telemedicine Quality improvement Pre-discharge briefing meeting Simulation Course

This is a rare, autosomal recessive cause of congenital diarrheal. Types: Early onset (95%): since birth Late onset (5%): 1-3 months Pathophysiology: Mutations MYO5B STXBP2 STX3 Disorder of apical vesicle traficking Dhekne HS, Pylypenko O, Overeem AW, Ferreira RJ, van der Velde KJ, Rings EHHM...

The optimal location of a central venous catheter tip is the cavoatrial junction. Acceptable locations include: Superior vena cava (including brachiocephalic - SVC junction) Right atrium Inferior vena cava Central venous catheter tip at cavoatrial junction Central venous catheter tip at...

Purpose: To confirm patient and family readiness for home parenteral nutrition https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/st…

Chronic intestinal pseudo-obstruction Definition: Heterogenous group of disorders characterized by disordered peristalsis leading to intestinal malabsorption and pseudo-obstructive crisis. Some types are acute. Radiograph showing marked small bowel dilatation without evidence of an abrupt transition...