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catheter care, and macronutrient and micronutrient intake may positively affect the response to PN.10,11 5 Appropriate Use of Parenteral Nutrition In 2014, the Board of Directors of the American Society for Parenteral and Enteral Nutrition (ASPEN) convened an interprofessional task force to review questions surrounding

obstructing the right ventricle May occur with technical error of catheter insertion, postinsertion catheter

catheter-related complications, and safe hookup and disconnect from the infusion pump.4 Outpatient/home health RN continues teaching for all procedures related to HPN. Completes CVAD care and laboratory orders.4 Registered pharmacist monitors drug therapy for dosing and drug-nutrient interactions. The registered pharmacist serves as a resource

catheter-related, 26–27 in home parenteral nutrition, 105, 105b bone disease, metabolic, 77–78, 78b, 111 bowel obstruction

obstruction or impaired secretion of bile), and gallbladder sludge/stones (caused by gallbladder stasis, which can result in inflammation). In the late 1990s, researchers increasingly recognized the role and associated complications of overfeeding PN. This challenged the theory that long-term PN leads to the development of PNALD

catheter or peripheral line, as this will impact the PN prescription. PN with osmolarity greater than 900 mOsm/L can only be provided via a central venous catheter.4 (Refer to Chapter 2 for additional information on vascular access devices.) Most facilities will have guidelines, policies, or procedures