Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7

A close cooperation between medical teams is necessary when calculating the fluid intake of parenterally fed patients. Fluids supplied parenterally, orally and enterally, other infusions, and additional fluid losses (e.g. diarrhea) must be considered. Targeted diagnostic monitoring (volume status) i...

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Main Authors: Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine, Muehlhoefer, A., Boehles, H. J., Bischoff, S. C., Biesalski, H. K.
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2009-11-01
Series:GMS German Medical Science
Subjects:
Online Access:http://www.egms.de/static/en/journals/gms/2009-7/000080.shtml
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spelling doaj-4e6cbc6c79b34d51a546e4a93d0c069b2020-11-25T02:02:58ZdeuGerman Medical Science GMS Publishing HouseGMS German Medical Science1612-31742009-11-017Doc21Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7 Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional MedicineMuehlhoefer, A.Boehles, H. J.Bischoff, S. C.Biesalski, H. K.A close cooperation between medical teams is necessary when calculating the fluid intake of parenterally fed patients. Fluids supplied parenterally, orally and enterally, other infusions, and additional fluid losses (e.g. diarrhea) must be considered. Targeted diagnostic monitoring (volume status) is required in patients with disturbed water or electrolyte balance. Fluid requirements of adults with normal hydration status is approximately 30–40 ml/kg body weight/d, but fluid needs usually increase during fever. Serum electrolyte concentrations should be determined prior to PN, and patients with normal fluid and electrolyte balance should receive intakes follwing standard recommendations with PN. Additional requirements should usually be administered via separate infusion pumps. Concentrated potassium (1 mval/ml) or 20% NaCl solutions should be infused via a central venous catheter. Electrolyte intake should be adjusted according to the results of regular laboratory analyses. Individual determination of electrolyte intake is required when electrolyte balance is initially altered (e.g. due to chronic diarrhea, recurring vomiting, renal insufficiency etc.). Vitamins and trace elements should be generally substituted in PN, unless there are contraindications. The supplementation of vitamins and trace elements is obligatory after a PN of >1 week. A standard dosage of vitamins and trace elements based on current dietary reference intakes for oral feeding is generally recommended unless certain clinical situations require other intakes.http://www.egms.de/static/en/journals/gms/2009-7/000080.shtmlfluid intaketrace elementszincseleniumvitamins
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language deu
format Article
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author Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine
Muehlhoefer, A.
Boehles, H. J.
Bischoff, S. C.
Biesalski, H. K.
spellingShingle Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine
Muehlhoefer, A.
Boehles, H. J.
Bischoff, S. C.
Biesalski, H. K.
Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
GMS German Medical Science
fluid intake
trace elements
zinc
selenium
vitamins
author_facet Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine
Muehlhoefer, A.
Boehles, H. J.
Bischoff, S. C.
Biesalski, H. K.
author_sort Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine
title Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
title_short Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
title_full Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
title_fullStr Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
title_full_unstemmed Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
title_sort water, electrolytes, vitamins and trace elements – guidelines on parenteral nutrition, chapter 7
publisher German Medical Science GMS Publishing House
series GMS German Medical Science
issn 1612-3174
publishDate 2009-11-01
description A close cooperation between medical teams is necessary when calculating the fluid intake of parenterally fed patients. Fluids supplied parenterally, orally and enterally, other infusions, and additional fluid losses (e.g. diarrhea) must be considered. Targeted diagnostic monitoring (volume status) is required in patients with disturbed water or electrolyte balance. Fluid requirements of adults with normal hydration status is approximately 30–40 ml/kg body weight/d, but fluid needs usually increase during fever. Serum electrolyte concentrations should be determined prior to PN, and patients with normal fluid and electrolyte balance should receive intakes follwing standard recommendations with PN. Additional requirements should usually be administered via separate infusion pumps. Concentrated potassium (1 mval/ml) or 20% NaCl solutions should be infused via a central venous catheter. Electrolyte intake should be adjusted according to the results of regular laboratory analyses. Individual determination of electrolyte intake is required when electrolyte balance is initially altered (e.g. due to chronic diarrhea, recurring vomiting, renal insufficiency etc.). Vitamins and trace elements should be generally substituted in PN, unless there are contraindications. The supplementation of vitamins and trace elements is obligatory after a PN of >1 week. A standard dosage of vitamins and trace elements based on current dietary reference intakes for oral feeding is generally recommended unless certain clinical situations require other intakes.
topic fluid intake
trace elements
zinc
selenium
vitamins
url http://www.egms.de/static/en/journals/gms/2009-7/000080.shtml
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