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determined with the patient and based on a goal weight for weight maintenance, weight gain, or weight loss. An administration schedule should be created, and blood glucose and serum electrolyte levels need to be stable before discharge. Patient intake

determine if the PN formulation can be advanced, should remain the same, or requires reformulation (eg, adjustments in volume, macronutrients, or electrolytes). Factors to consider during advancement are outlined in Box 4.1.1,4,10,14-16 If there

blood cultures have no growth, the need for further empiric antibiotic treatment must be reassessed to determine need. Catheter salvage may be considered on a case-by-case basis, considering factors such as whether the patient has other available vascular

Determination of Glucose Infusion Rate Based on Desired Dextrose Intake Formula Glucose infusion rate (GIR; mg/kg/min) = (g of dextrose per day x 1,000) ÷ (patient weight [kg] x min/d) Example GIR for a 70-kg patient with a desired dextrose intake

determine whether PN (alone or in a supplemental role) is appropriate to fully meet nutrition needs, as well as to ideally maintain or improve nutritional status. Identifying appropriate patient populations and optimizing glucose control, central venous catheter care, and macronutrient and micronutrient intake may positively