Total parenteral nutrition and fluid/electrolyte therapy in the home

ABSTRACT

Nine years’ experience with total parenteral nutrition and fluid/electrolyte therapy in the home are reviewed. A total of 110 patients could not maintain adequate nutrition, hydration, and/or electrolyte balance due to inadequate bowel length or absorption. Nutrition, clinical examination, and blood studies were corrected, and the patient was instructed in catheter care, fluid compounding and administration, self-monitoring, and management of complications. They were out of the hospital during 90% of their involvement in the program; readmissions were primarily related to underlying disease rather than complications. Home parenteral therapy can reduce or eliminate hospitalization for many patients and may allow return to a near-normal life style.