WEB171024 - Part 2: Writing Parenteral Nutrition- An Art Rather Than a Science

An increase in the education and understanding of writing parenteral nutrition is needed for all patient populations. The overall purpose of this webinar series will be to provide the learner with the knowledge to accurately create a parenteral nutrition prescription for adult, pediatric, or neonatal patients given varying patient case scenarios.

The first session will introduce the learner to the decision process of which patients are appropriate for parenteral nutrition therapy, appropriateness of the patient's venous access, and the initiation and advancement of macronutrients within a parenteral nutrition solution.

The second session will introduce the learner to the decision process of initiation and advancement of micronutrients, particularly electrolytes, as well as, formulation and compounding challenges (e.g., osmolality, calcium-phosphate solubility, 2-in-1 vs 3-in-1).

Learning Objectives:

1. Develop a patient specific parenteral nutrition formulation considering initiation of electrolytes, multivitamins, and trace elements and subsequently adjustment of electrolytes based on patient laboratory findings
2. Understand the calculations required to determine osmolarity and the principles behind the determination of calcium-phosphate solubility
3. Compare and contrast the advantages and disadvantages of a 2-in-1 versus 3-in-1 parenteral nutrition solution