#164 TPN/PPN Parenteral Nutrition: 5 Pearls Segment

The Core IM Thigh Pearls Podcast episode discusses parenteral nutrition (TPN and PPN), covering the components of TPN and PPN, their differences in administration (central vs. peripheral access), and appropriate clinical indications. Speakers Sheree Trivedi, Hida Mehta, and Margaret Lee, along with expert guests, discuss when to use TPN/PPN, contraindications, and potential complications like liver changes, gallstone formation, and the impact on patients with functional bowel syndrome. The podcast also addresses common misconceptions about TPN, such as whether it causes diarrhea, and emphasizes the importance of involving GI specialists early in the decision-making process. The episode concludes with a discussion on calculating free water flushes for patients on tube feeds, highlighting the need to tailor hydration strategies based on individual needs and formula composition.