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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...

Short bowel syndrome (short gut syndrome) Congenital intestinal pseudo-obstruction Microvillus inclusion disease Congenital tufting enteropathy Visceral hyperalgesia

Placement Issues Clinical Vignette 1 Placement Issues Clinical Vignette 2 Central venous access procedure complications As HPN teams are often provide referrals for central line placement, it is important for team members to be familiar with the following common procedural complications: Arterial...

Nephrocalcinosis - Risk factors: prematurity, lasix exposure, nephrotoxins (antibiotics), calcium intake), vitamin D intake, fat malabsorption in colon (oxate stones), high vitamin D intake, family history of kidney stones - Diagnostic work-up: PTH, I cal, vitamin 1,25-OH D, urinalysis (blood, pH...

Frankel A, Haraden C, Federico F, Lenoci-Edwards J. A Framework for Safe, Reliable, and Effective Care. White Paper. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Safe-Reliab…...