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       DIPENSING PARENTERAL 
                     NUTRISI
             Disampaikan Pada Acara 
            In House Training RS PHC  
               Surabaya, 13-14 November 2018  
               Drs. Muhammad Yahya., Sp.FRS, Apt 
    Parenteral Nutrisi
     Two-in-one              All-in-one
      Amino Acid +           All the macro- 
      Dextrose +               and micro-nutrients 
      Electrolyte +            in one single 
      Mineral + race           infusion bag 
      elements 
      Lipid Emulsion + 
      Vitamins 
      Separate infusion 
  TPN Definition
  T: Total means that all the daily nutritional 
   needs   
       for a child or adolescent are in the 
   TPN bag. 
  P: Parenteral means that the daily feedings 
   are   
       given to the child or adolescent 
   through a vein. 
  N: Nutrition means all the proteins, fats,   
       carbohydrates, vit and minerals that 
   are needed   
       for growth and activity. (1)
    INDIKASI UTAMA 
    PEMBERIAN TPN
     Px Kurang gizi yang kehilangan berat 
      badan > 10% dari berat badan terakhir
     Saluran pencernaan tidak berfungsi sama 
      sekali
     Tidak ada asupan makanan oral selama 
      3-5 hari dengan status gizi buruk