Peripheral and Total Parenteral Nutrition

  • Martin H. Floch
Part of the Topics in Gastroenterology book series (TGEN)


It is amazing how much dextrose in water is administered by clinicians in hospital settings while the patient loses weight and resistance. The administration of glucose and water, or glucose and electrolytes, does little but supply a small carbohydrate energy source. Patients who receive merely glucose and electrolyte solution go into rapid negative nitrogen balance. These patients lose weight. They are energy starved. Furthermore, patients receiving protein supplementation have decreased morbidity. It certainly behooves every clinician to think critically when prescribing simple glucose and electrolyte solutions. If it is for a short-term illness and the diagnosis is certain, then merely maintaining fluid balance is important and some carbohydrate assists in that function. However, if the patient is seriously ill, will be ill for more than several days, and does not have any evidence of obesity, then the physician should consider more than glucose for intravenous therapy.


Total Parenteral Nutrition Essential Fatty Acid Deficiency Amino Acid Solution Intravenous Lipid Emulsion Amino Acid Infusion 
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Copyright information

© Plenum Publishing Corporation 1981

Authors and Affiliations

  • Martin H. Floch
    • 1
    • 2
  1. 1.Yale University School of MedicineUSA
  2. 2.Department of Medicine, Section of Gastroenterology and NutritionNorwalk HospitalUSA

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