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Vitamins During Cycles of Intermittent Parenteral Nutrition

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Diet and Nutrition in Critical Care

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Abstract

Intermittent parenteral nutrition (IPN) is a viable alternative for patients who depend on total parenteral nutrition and for whom home parenteral nutrition (HPN) is unavailable. Patients are hospitalized in a cyclic regimen to receive IPN during a short period of 4–6 days every 8–21 days, according to individual nutritional requirements. Patients receive a parenteral nutrition solution containing macronutrients, minerals, electrolytes, vitamins, and water. Similar to patients on HPN, vitamin deficiencies also have been observed in patients on IPN. In our 20-year experience with IPN, patients with extreme short bowel syndrome are kept on fairly nutritional status. But despite a vitamin supply that meets the populational recommended values for intravenous administration, normal serum concentrations of vitamins A, C, E, D, and K are not achieved. In conclusion, we believe that IPN is a useful method to furnish nutrients to patients unable to receive HPN.

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Abbreviations

HPN:

Home parenteral nutrition

IPN:

Intermittent parenteral nutrition

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Authors and Affiliations

  1. Department of Medicine, Division of Medical Nutrition, Ribeirão Preto Medical School, São Paulo University, Ribeirao Preto, SP, Brazil

    Selma Freire C Cunha, José Henrique da Silvah, Cristiane Maria Mártires de Lima & Júlio Sérgio Marchini

Authors
  1. Selma Freire C Cunha
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  2. José Henrique da Silvah
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  3. Cristiane Maria Mártires de Lima
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  4. Júlio Sérgio Marchini
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Corresponding author

Correspondence to Selma Freire C Cunha .

Editor information

Editors and Affiliations

  1. Royal Free London Hospitals, Barnet General Hospital, London, UK

    Rajkumar Rajendram

  2. Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Rajkumar Rajendram

  3. King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia

    Rajkumar Rajendram

  4. Department of Nutrition and Dietetics, Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Victor R. Preedy

  5. Department of Biomedical Sciences, Faculty of Science & Technology, University of Westminster, London, UK

    Vinood B. Patel

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Cunha, S.F.C., da Silvah, J.H., de Lima, C.M.M., Marchini, J.S. (2015). Vitamins During Cycles of Intermittent Parenteral Nutrition. In: Rajendram, R., Preedy, V.R., Patel, V.B. (eds) Diet and Nutrition in Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7836-2_148

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  • DOI: https://doi.org/10.1007/978-1-4614-7836-2_148

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7837-9

  • Online ISBN: 978-1-4614-7836-2

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