Following major gastrointestinal resection, a patient with s…

Following major gastrointestinal resection, a patient with severe short bowel syndrome is started on PN. It is anticipated that this patient may need this therapy for 6 months to 1 year. The PN prescription for this patient includes the following: D20W amino acids 5% (final concentrations) at 105 mL/hr (2500 mL/day)Intravenous fat emulsion 20% at 10 mL/hr x 24 hrs (240 mL/day)0.45% sodium chloride injection at 50 mL/hr x 24 hours (1200 mL/day)How many calories from dextrose will this patient receive each day?

A 47-year-old man with Crohn’s disease and a history of smal…

A 47-year-old man with Crohn’s disease and a history of small bowel resection is admitted to the hospital for evaluation of a likely enterocutaneous fistula. He has unintentional weight loss, nausea, and decreased oral intake. Is parenteral nutrition (PN) therapy indicated for this patient?