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Related Categories: Conscious Sedation, Heparin Administration, Commercial Infusion Pumps, Intravenous Therapy Humor, Nursing Consultants, Nursing Societies, Professional Associations, Steroid Therapy The American Society for Parenteral and Enteral Nutrition:"A.S.P.E.N. is a professional organization whose members are involved in the provision of clinical nutrition therapies, including parenteral and enteral nutrition. Its nearly 6,000 members are physicians, nurses, dietitians, pharmacists, scientists and other allied health professionals." A.S.P.E.N. 8630 Fenton Street, Suite 412 - Silver Spring, MD 20910 1-800-727- 4567 or 301-587-6315 email address: aspen@nutr.org http://www.clinnutr.org/ ****************************************************** Pediatric Total Parenteral Nutrition (TPN), NIH Clinical Center Nursing Department:"Note: TPN is usually needed only if the patient cannot receive adequate nutrition via the gut. Consider alternate enteral supplementation if appropriate. Use appropriate worksheet a guide to ordering. Note: There are two different worksheets depending on the child's weight (30 kg or less and more than 30 kg) For "Calculations," multiply patient weight (wt) or total volume of TPN by multiplication factors. Multiplication factors are usual ranges. Note suggestions for first day and maximum amounts. Adjust as needed. Right column corresponds to MIS ordering template Be sure to order an inpatient schedule. Standard for short term TPN is to run over 24 hours. For longer term TPN, seek advice on "short-cycle" TPN. Intralipids (20% Fat Emulsion): Placed as a separate order under "Fat Emulsion." See appropriate TPN Worksheet for suggestions. Seek advice from nutritionist, clinical pharmacy specialist, or pediatric consultant as needed. " http://www.cc.nih.gov/ccc/pedweb/pedsstaff/tpn.html ****************************************************** Total Parenteral Nutrition in the Critically Ill Patient, JAMA:"Nutritional support has become a standard of care for hospitalized patients, but whether total parenteral nutrition (TPN) affects morbidity and mortality is unclear." http://jama.ama-assn.org/issues/v280n23/abs/jce80032.html ****************************************************** Total Parenteral Nutrition (TPN), MedicineAu:"Total Parenteral Nutrition (TPN) is ordered by the Duty Intensivist. TPN may be administered by Registered Nurses who are accredited to give intravenous medication and have undertaken training to care for CVC sites and lines." 16 Carrington Street (PO Box 519), Lismore, NSW 2480, Australia. Ph: +61 (0)2 6622 4453 Fax: +61 (0)2 6622 3185 http://www.medicineau.net.au/clinical/ICU/procedures/tpn.html ****************************************************** Etiology Of Malnutrition In The Cancer Patient, Total Parenteral Nutrition In Cancer Patients, Orthomolecular Oncology:"The etiology of malnutrition is multifactorial, involving secretion of cytokines such as tumor necrosis factor (TNF) by tumor directly or from antigen-antibody allergic response to antineoplastic therapy. Unlike simple starvation, this metabolic response leads to visceral tissue depletion, labelled bypoalbuminemic malnutrition (Harvey et al., 1979). Additional tissue cytokines result in protein wasting, depletion of body fat, and decreased food intake (Fong et al., 1989). The consequence of this cancer cachexia is cell-mediated immune deficiency. Excess morbidity and mortality result from opportunistic infection and failure of wound healing. It is also important to recognize that in some patients specific micronutrient deficiencies, such as iron, calcium, magnesium, or vitamin B12 deficiency can be present even in the absence of weight loss and can be devastating (Blackburn et al., 1977)." http://www.canceraction.org.gg/tpn.htm ****************************************************** Total Parenteral Nutrition (TPN), pharmalicensing.com:"Total parenteral nutrition in its complete sense includes the administration of Amino Acids, Fats, Carbohydrates, Minerals and Vitamins. All these elements when given via parenteral route to the patient who "should not", "will not" and "cannot" take food via the oral or the Enteral route. Amino acids play an important role in building up the protein levels of the patient thereby mentioning the proper metabolic activities, building immuno competence and raise the nutritional status of the patient to normal." http://pharmalicensing.com/licensing/displicopp/488 ****************************************************** Pharmacon:"Pharmacon's nutritional support program is one of the most progressive in the South Florida area. We provide on site and telephone consultation, assisting physicians in prescription formulation and compounding. We also provide the physician with the guidelines for qualification under Medicare and much more. We provide TPN in state-of-the-art portable pumps for the convenience of our patients and of course provide all ancillary products needed from syringes, batteries and dressings to biohazardous waste management." 160 SW 12th Avenue s Suite 101-D s Deerfield Beach, Florida 33442 Telephone 954-725-0222 888-327-2233 FAX 954-725-8811, webmaster@hyperal.com http://www.hyperal.com/serv01.htm ****************************************************** Pediatric Parenteral Nutrition, Specialized Clinical Services, Gastroenterology and Nutrition, Department of Pediatrics, School of Medicine, Washington University in St. Louis:"Parenteral nutrition (PN) is a method of supplying nourishment to children unable to eat. The implementation of PN requires decisions about route of infusion, composition of infusate, and the possibility of unusual nutritional needs. The potential benefits and risks for each patient weigh in these decisions. Considered variables or parameters include: child's illness obstacle to enteral feeding: absolute or partial? Temporary or indefinite duration? pre-existing and anticipated nutritional needs quality of life issues: continuous versus cyclic infusion?" Campus Box 1143, One Brookings Drive, St. Louis, MO 63130 http://peds.wustl.edu/div/gi/spec/tpn/ ****************************************************** ****************************************************** ****************************************************** Nursing Topics, A to Z: A, B, C, D, E, F, G, H, I, K L, M, N, O, P, R, S, T, U, V, W, X, Y, Z If your website is not listed here, we encourage you to submit it: Add Your Website/URL. See also: Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, Online/Offline College, University and more!:"Higher income. Career mobility. 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To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses." Nurses Station P.O. Box 388 Centerbrook, CT 06409-03881 http://www.nursefriendly.com/station/ Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand: Accessories Nursing Carry-Ons, Medical Bags, Clinical, Medical Supplies, Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie Surprised? eBay Has Nursing Supplies, scrubs, uniforms, stethescopes, etc.:"You can find nursing supplies right here! With over 5 million items for sale every day, you'll find the nursing supplies you're looking for at the world's online marketplace - eBay!" http://www.nursefriendly.com/ebay/ Nursing In The Media, truthaboutnursing.org ER:"Media products under your influence, particularly the NBC/Warner drama "ER," are harming the profession of 2.7 million American nurses by giving the public an inaccurate and inadequate account of what nurses really do to save and improve lives. Research suggests that "ER" strongly and negatively influences the way children view nursing. These products contribute to the nursing shortage, a public health crisis that threatens millions worldwide." http://www.truthaboutnursing.org/letters/er/ House, MD:"The main patient in tonight's episode of Fox's House was a nurse who believed that a cat tended to sit with those who were about to die--including, recently, the nurse herself. That may not sound like a promising vehicle for House to improve its abysmal portrayal of nursing. But the show actually presents the nurse as someone with health knowledge. And her search for meaning in faith, for some reason in tragic events, is a real counterpoint to House's cold rationality. Indeed, despite the obvious potential for mockery in the cat angle, the mighty House treats the nurse with considerable respect--he seems to care what she thinks, or at least to find her views unnerving. Of course, the nurse plays no real clinical role in the episode, and no other nurses do either. So the episode suggests, as usual, that physicians provide all important care in hospital settings, including all meaningful psychosocial and physical care. Still, any suggestion that intelligent life resides in a nurse is a welcome departure for House (and for the episode's writer Peter Blake, who also penned a November 2005 House episode that was notable for its physician glorification and its casual contempt for other health professions). Tonight's episode, "Here Kitty," drew 13.1 million U.S. viewers. more... see the relevant film clips... and please join our letter writing campaign!" http://www.truthaboutnursing.org/letters/house/ Private Practice:"ABC's Private Practice, whose season ends tomorrow, April 30, may be the only broadcast network show with a major nurse character to return next season. In the February 5 episode (Mike Ostrowski's "Acceptance," 13 million U.S. viewers), lone nurse character Dell Parker, who is studying to be a midwife, shows some tentative clinical aptitude and knowledge to go with his boyish eagerness. Under the close supervision of OB/GYN Addison Montgomery, Dell ably performs a vacuum-assisted delivery. Later he haltingly guides the baby's parents toward breastfeeding. Dell also performs an assured solo ultrasound of pregnant psychiatrist Violet Turner, calming her panic attack and eliciting her agreement to his own suggestion that, though he's "not a doctor," he will likely become a "pretty good midwife." The show still condescends to Dell, who is also the office manager/receptionist at the LA clinic where the show is set. In the March 26 episode (Craig Turk's "Do the Right Thing," 10.1 million U.S. viewers)," http://www.truthaboutnursing.org/letters/pp/ "Scrubs" defines nursing:""Scrubs" defines nursing: it's all about shutting up and following physician "orders. 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Created on July 14, 1999

Last updated by Andrew Lopez, RN on Monday, January 25, 2010

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