{"id":20647,"date":"2022-07-07T13:21:59","date_gmt":"2022-07-07T20:21:59","guid":{"rendered":"https:\/\/ameripharmaspe.wpengine.com\/staging\/?p=19314"},"modified":"2026-04-07T10:32:40","modified_gmt":"2026-04-07T17:32:40","slug":"how-is-tpn-administered","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/zh\/tpn\/how-is-tpn-administered\/","title":{"rendered":"TPN \u5982\u4f55\u7ed9\u836f\uff1fPICC \u5bfc\u7ba1\u3001\u96a7\u9053\u5f0f\u4e2d\u5fc3\u9759\u8109\u5bfc\u7ba1\u548c\u690d\u5165\u5f0f\u8f93\u6db2\u6e2f\u8be6\u89e3"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ameripharmaspecialty.com\/zh\/tpn\/how-is-tpn-administered\/#Total_Parenteral_Nutrition_TPN\" >Total Parenteral Nutrition (TPN)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/zh\/tpn\/how-is-tpn-administered\/#Method_of_TPN_Administration\" >Method of TPN Administration<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/zh\/tpn\/how-is-tpn-administered\/#Peripheral_Inserted_Central_Catheter_PICC\" >Peripheral Inserted Central Catheter (PICC)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/zh\/tpn\/how-is-tpn-administered\/#Tunneled_CVC\" >Tunneled CVC<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/zh\/tpn\/how-is-tpn-administered\/#Implanted_Port\" >Implanted Port<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Total_Parenteral_Nutrition_TPN\"><\/span>Total Parenteral Nutrition (TPN)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/ameripharmaspecialty.com\/tpn\/tpn-solution\/\">Total parenteral nutrition (TPN)<\/a> is a nutritional support method used to administer essential nutrients intravenously directly into a patient&#8217;s bloodstream rather than into the gastrointestinal tract. TPN solution includes nutrients like sugar, minerals, proteins, carbohydrates, lipids, vitamins, and electrolytes. This method is also known as IV or intravenous nutrition feeding. It is the most recommended method for those patients who cannot eat due to their medical conditions.&nbsp; This includes:&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Intestinal obstruction<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Infants with immature gastrointestinal tracts or congenital gastrointestinal malformation<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Chronic diarrhea or vomiting<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Patients who are extremely undernourished and need surgery or chemotherapy<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Severe injury&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ulcerative colitis&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Crohn&#8217;s disease&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Short bowel syndrome&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Patients who can have nothing by mouth (NPO) for more than 7 days&nbsp;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Patients who have a nonfunctional or paralyzed gastrointestinal system [<a href=\"https:\/\/opentextbc.ca\/clinicalskills\/chapter\/8-8\/\">1<\/a>]&nbsp;<\/span><\/li>\n<\/ul>\n\n\n\n<div  id=\"call-to-action-27367fbd4203ef8a0e313d434380db34\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tIV Fluids Fully in Stock\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tReliable supply for uninterrupted care\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">Get Started<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Method_of_TPN_Administration\"><\/span>Method of TPN Administration<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN involves a formula that is unique to each patient based on weekly lab results. Once a formula is determined by either a doctor or pharmacist, all the components are compounded into a daily infusion bag in which the patient will get infused via a small portable pump. <a href=\"https:\/\/ameripharmaspecialty.com\/tpn\/tpn-solution\/10-tips-for-adjusting-to-your-life-with-tpn-total-parenteral-nutrition\/\">TPN<\/a> is administered over 24 hours initially and if tolerated well, can be cycled down to a daily 12 <\/span><span style=\"font-weight: 400;\">\u2013<\/span><span style=\"font-weight: 400;\"> 14 hour infusion.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN may be short-term or long-term, depending on a patient\u2019s diagnosis and needs. If short-term, nutrition can be administered through a peripheral line that is inserted by a nurse and replaced every 3 <\/span><span style=\"font-weight: 400;\">\u2013 <\/span><span style=\"font-weight: 400;\">5 days. This is called peripheral parenteral nutrition (PPN). Given the nature and placement into smaller veins, PPN is for nutritional support, rather than nutritional replacement, and the duration of PPN should be no more than 2 weeks.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Long-term TPN is usually administered through a central venous catheter (CVC). Common types are peripherally inserted central catheter (PICC), tunneled CVC, and implanted port.&nbsp;<\/span><b><\/b><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Peripheral_Inserted_Central_Catheter_PICC\"><\/span>Peripheral Inserted Central Catheter (PICC)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">PICC lines are inserted by a nurse or doctor <\/span><span style=\"font-weight: 400;\">into one of the upper arm veins (basilic, brachial, cephalic, or medial cubital vein). The catheter is inserted peripherally and guided by radiographic imaging until the tip ends in the <a href=\"https:\/\/teachmeanatomy.info\/thorax\/vasculature\/superior-vena-cava\/\">superior vena cava<\/a> (vein above the heart).&nbsp; Once placed, the catheter tube will stick out of your skin. PICC lines can be used for TPN for up to 6 months as long as the catheter and the site of insertion are stable. After 6 months, these catheters will need to be replaced. Upon completion of treatment, PICC lines can safely be removed immediately by a nurse.<\/span><b><\/b><\/p>\n\n\n\n<div  id=\"call-to-action-83a978864911b87cc29f89a35ebf0cc7\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tAmeriPharma\u00ae Specialty Care\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tTotal Parenteral Nutrition | Leader In TPN Assistance\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">Schedule a Consultation<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tunneled_CVC\"><\/span>Tunneled CVC<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Tunneled CVCs are surgically placed by a nurse or doctor into a vein usually in the neck or chest (jugular or <a href=\"https:\/\/www.kenhub.com\/en\/library\/anatomy\/the-subclavian-vein\">subclavian vein<\/a>). The catheter is passed under the skin through a small incision and is then guided by radiographic imaging until the tip ends in the superior vena cava (vein above the heart). To keep it in place, the catheter will then be stitched to the skin at the place it exits and like a PICC, the catheter tube will stick out of your skin. Tunneled catheters can stay in for years. Once it needs to be removed, the patient must be referred back to interventional radiology, and it will be removed by a healthcare professional.&nbsp;<\/span><b><\/b><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Implanted_Port\"><\/span>Implanted Port<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">An implanted port is more commonly known as a medi-port or port-a-cath. It is surgically placed usually on the right side of the chest under the skin. The catheter attached to the drum is short and also ends in the superior vena cava (vein above the heart). Once placed, you will only see a small quarter-sized bump under the skin. There will not be any visible catheters sticking out of the skin. Only when it needs to be used, a special type of needle called a Huber needle is inserted into the port by a nurse. Ports may stay placed indefinitely as long as the catheter remains stable. Removing a port also requires a referral back to interventional radiology, and it will be removed by a healthcare professional.&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5168\u80a0\u5916\u8425\u517b (TPN) \u662f\u4e00\u79cd\u8425\u517b\u652f\u6301\u65b9\u6cd5\uff0c\u901a\u8fc7\u9759\u8109\u5c06\u5fc5\u9700\u8425\u517b\u7d20\u76f4\u63a5\u8f93\u9001\u5230\u60a3\u8005\u7684\u8840\u6db2\u4e2d\uff0c\u800c\u4e0d\u662f\u80c3\u80a0\u9053\u4e2d\u3002TPN \u6eb6\u6db2\u5305\u542b\u7cd6\u3001\u77ff\u7269\u8d28\u3001\u86cb\u767d\u8d28\u3001\u78b3\u6c34\u5316\u5408\u7269\u3001\u8102\u8d28\u3001\u7ef4\u751f\u7d20\u548c\u7535\u89e3\u8d28\u7b49\u8425\u517b\u7d20\u3002<\/p>","protected":false},"author":9,"featured_media":20649,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[12],"tags":[9],"class_list":["post-20647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-dr-stephanie-shieh"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How Is TPN Administered? 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