[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-294322-105":59,"doc-detail-294322-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","strategies-for-successful-parenteral-nutrition-order-writing","Strategies for Successful Parenteral Nutrition Order Writing","","Strategies for Successful Parenteral Nutrition Order Writing focuses on how to determine when parenteral nutrition is appropriate and how to manage prescriptions safely and effectively. The material covers learning outcomes that include calculating individualized parenteral nutrition formulas using age, disease state, and patient-specific nutrition needs; monitoring formula progress from initiation to composition goals; and justifying electrolyte abnormality management strategies. It also outlines safe compounding practices and formula design across clinical and pediatric considerations, including absolute and relative indications.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/strategies-for-successful-parenteral-nutrition-order-writing/294322/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/strategies-for-successful-parenteral-nutrition-order-writing/294322.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How is an individualized parenteral nutrition formula calculated?","Question",{"text":112,"@type":113},"Use patient-specific factors including age, disease, and unique nutrition requirements as part of the formula design process.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What are the key questions to determine whether parenteral nutrition is appropriate?",{"text":117,"@type":113},"Assess whether the gastrointestinal tract can be utilized and accessed, evaluate the patient’s nutritional status and clinical stability, and confirm whether a palliative care approach is planned.",{"name":119,"@type":110,"acceptedAnswer":120},"What are examples of absolute and relative indications for parenteral nutrition?",{"text":121,"@type":113},"Absolute indications include an inaccessible GI tract and conditions such as short bowel syndrome or severe paralytic ileus. Relative indications include severe radiation enteritis, refractory diarrhea or vomiting, pseudo-obstruction, gut ischemia, intolerance to enteral feedings, or failure to achieve enteral goals in 7 days.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},294322,1789682373,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":129,"read_time":144},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Strategies for Successful Parenteral Nutrition Order Writing  \nM. Petrea Cober, PharmD, BCNSP, BCPPS Anne M. Tucker, PharmD, BCNSP Karrie Derenski, PharmD, BCNSP, CNSC  \nDisclosure  \nThe program chair and presenters for this continuing education activity have reported no relevant financial relationships, except:  \n􀂃 Karrie Derenski -Baxter: Speaker's Bureau  \nLearning Objectives  \nAt the conclusion of the presentation, the learner will be able to:  \n􀂃 Calculate an individualized parenteral nutrition formula for a patient incorporating age, disease, and unique nutrition requirements into design .  \n􀂃 Assess skills for monitoring parenteral nutrition formula from initiation to achievement of composition goal.  \n􀂃 Justify strategies for managing electrolyte abnormalities .  \n􀂃 Describe safe parenteral nutrition compounding practices and parenteral nutrition formula design .  \n3  \nParenteral Nutrition:  \nWho needs PN and what does everyone  \nneed in the bag?  \nM. Petrea Cober, PharmD, BCNSP, BCPPS Clinical Coordinator – NICU, Akron Children’s Hospital Associate Professor – Pharmacy Practice/Section Lead – Specialty Care, Northeast Ohio Medical University, College of Pharmacy  \n4  \nPresentation Outline  \n􀂃 Indications  \n􀂃 Access considerations  \n􀂃 Volume requirements and limitations  \n􀂃 Caloric requirements  \n􀂃 Components of parenteral nutrition  \n• Macronutrients – Initiation and Advancement  \n5  \nWho needs parenteral nutrition (PN)?  \n6  \nIs PN appropriate?  \n􀂃 Key questions to ask  \n• Can gastrointestinal (GI) tract be utilized?  \n• Can GI tract be accessed?  \n• Nutritional status of patient?  \n• Patient clinically stable?  \n• Palliative care approach planned?  \n7  \nAbsolute Indications  \n􀂃 Inaccessible GI tract  \n􀂃 Short bowel syndrome (SBS)  \n􀂃 Non-operative mechanical bowel obstruction  \n􀂃 Multiple enterocutaneous fistulas or high output single fistula  \n􀂃 Severe paralytic ileus  \nBraunschweig CL, et al. Am J Clin Nutr 2001;74:534-542.  \nZaloga GP. Lancet 2006;367:1101-1111.  \nKoretz RL, et al. Gastroenterology 2001;121:970-1001. 8  \nRelative Indications  \n􀂃 Severe radiation enteritis  \n􀂃 Refractory diarrhea or vomiting  \n􀂃 Pseudo-obstruction  \n􀂃 Gut ischemia  \n􀂃 Intolerance to enteral feedings  \n􀂃 Failure to achieve enteral goals in 7 days  \nBraunschweig CL, et al. Am J Clin Nutr 2001;74:534-542. Zaloga GP. Lancet 2006;367:1101-1111.  \nKoretz RL, et al. Gastroenterology 2001;121:970-1001. McClave SA, J Parent Ent Nutr 2009;33:277 .  \n9  \nOther Considerations in Pediatrics  \n􀂃 Prematurity  \n􀂃 Low birth weight infants (\u003C 2500 grams)  \n􀂃 Unable to receive enteral feedings  \n• Extremely premature = more than 1-2 days  \n• Neonates = more than 2-3 days  \n• Pediatric = more than 5-7 days  \n􀂃 Congenital anomalies of GI tract  \n􀂃 Congenital heart disease  \n􀂃 Necrotizing enterocolitis  \n􀂃 Critical illness with hemodynamic instability  \n􀂃 Extracorporeal membrane oxygenation (ECMO)  \nA.S. P. E. N. Pediatric Nutrition Support Core Curriculum, 2nd edition, 2015  \n10","cbCaieJ54uIdfE0w","https://ap.wps.com/l/cbCaieJ54uIdfE0w","pdf",1191775,130,"English","# Learning Objectives\n## Calculate individualized parenteral nutrition formulas\n## Monitor formulas from initiation to achievement of composition goals\n## Justify strategies for managing electrolyte abnormalities\n## Describe safe parenteral nutrition compounding practices and formula design\n# Parenteral Nutrition: Who needs PN and what does everyone need in the bag?\n# Presentation Outline\n## Indications\n## Access considerations\n## Volume requirements and limitations\n## Caloric requirements\n## Components of parenteral nutrition\n## Macronutrients – Initiation and Advancement\n# Who needs parenteral nutrition (PN)?\n## Is PN appropriate?\n## Key questions to ask\n# Indications\n## Absolute indications\n## Relative indications\n## Other considerations in pediatrics","[{\"question\":\"How is an individualized parenteral nutrition formula calculated?\",\"answer\":\"Use patient-specific factors including age, disease, and unique nutrition requirements as part of the formula design process.\"},{\"question\":\"What are the key questions to determine whether parenteral nutrition is appropriate?\",\"answer\":\"Assess whether the gastrointestinal tract can be utilized and accessed, evaluate the patient’s nutritional status and clinical stability, and confirm whether a palliative care approach is planned.\"},{\"question\":\"What are examples of absolute and relative indications for parenteral nutrition?\",\"answer\":\"Absolute indications include an inaccessible GI tract and conditions such as short bowel syndrome or severe paralytic ileus. Relative indications include severe radiation enteritis, refractory diarrhea or vomiting, pseudo-obstruction, gut ischemia, intolerance to enteral feedings, or failure to achieve enteral goals in 7 days.\"}]","Strategies for Successful Parenteral Nutrition Order Writing | PDF",328]