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Designing Parenteral and Enteral Regimens

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Intestinal Failure

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Abstract

In general, the gut is used for enteral nutritional support (EN) if it is accessible and functional, if not then parenteral nutrition (PN) is required. Due mainly to the variability in absorption, gastrointestinal losses, and patient activity the initial requirements provide guidance, and are ultimately a best estimate for the primary EN and PN regimen. It is essential that after the initial regimen has been commenced, that careful monitoring is undertaken so that the content of any EN and PN regimens are adjusted according to the patient’s state of hydration and nutritional status. If a patient is being worked up for home EN (HEN) or PN (HPN), then the final regimen will depend not only upon the hydration and nutritional status of the patient, but also upon their individual preferences to enable a good quality of life.

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Authors and Affiliations

  1. St Mark’s Hospital, Harrow, Middlesex, UK

    Nicola Vernon & Jeremy M. D. Nightingale

  2. The Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK

    Beth Rye

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  1. Nicola Vernon
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  1. St Mark’s Hospital, Harrow, Middlesex, UK

    Jeremy M.D. Nightingale

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Vernon, N., Rye, B., Nightingale, J.M.D. (2023). Designing Parenteral and Enteral Regimens. In: Nightingale, J.M. (eds) Intestinal Failure. Springer, Cham. https://doi.org/10.1007/978-3-031-22265-8_36

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