Enteral and Parental Nutrition

Base Knowledge

Possess knowledge in several domains taught in previous classes: Biochemistry, Pathology, Clinical Dietetics I, II, III and Pharmacotherapy

Teaching Methodologies

Teaching and learning will be based on theoretical/practical classes with exposition of themes and elaboration of protocols for nutritional assessment and monitoring, analysis and discussion of articles, practical classes will be essentially clinical case resolution, clinical cases will be presented in a hospital context. resolved and discussed.

Learning Results

at the end the student must:

1- Know when and how to establish enteral and parenteral nutritional support, know how to perform nutritional assessment as well as prepare EN and NP protocols and perform nutritional calculations adapted to the various pathologies related to EN and PN and be sure of the benefit of nutritional therapy in improving of the patient’s health status in each pathology or in several associated pathologies

2- Know the contraindications of EN and PN, and recognize the most appropriate access routes for each patient

3- Mastering the knowledge of all existing formulas on the market for both NE and NP

4- Know the most current guidelines that allow you to prepare nutritional calculations adapted and balanced in the various pathologies and make more sustained decisions

5- Know well the nutrient drug interaction, in order to intervene in complications

6- Counting and transforming nutritional needs taking into account the pathology or pathologies in a personalized food plan adapted to each patient

7- Provide students with solid scientific knowledge in the area of ​​dietetics and nutrition

8- Develop skills to work in multidisciplinary teams

9- Knowing how to monitor all nutritional support

10- Develop an analytical and interpretive posture, stimulating criticism and self-criticism based on solid scientific knowledge, as well as proposing to execute and implement nutritional assessment protocols;

Program

a-How to establish an enteral and parenteral Nutritional Support, advantages and disadvantages; indications contraindications and complications

b- Nutritional assessment and Calculation of energy needs through estimative, predictive and direct and indirect measurement calculations. Its correlation with the clinic and the different pathologies and degree of stress in enteral and parenteral nutrition, guidelines.

c-Identification of clinical situations in which the different enteric formulas are indicated

d- Formulas adapted to organ dysfunction. Interest in clinical practice

e- Exhaustive knowledge of the different formulas on the market for parenteral nutrition

f-Drug-nutrient interaction

g- Artificial nutrition in different pathologies, monitoring;

h-Home Ambulatory Artificial Nutrition

i- Resolution and discussion of clinical cases

Curricular Unit Teachers

Internship(s)

NAO

Bibliography

Primary Bibliography

 John L. Rombeau Rolando H. Rolandelli.:. Clinical Nutrition; Parenteral Nutrition.2005.

 PAYNE-JAMES, JasonGRIMBLE, George K.SILK, David B. A.(2012),Artificial nutrition support in clinical practice (Second edition)Cambridge University Press.

 

Secondary Bibliography:

Dardvet D. The molecular nutrition of amino acids and proteins.1st ed. Academic Press, Elsevier; 2016; 

Hoffer LJ.How much protein do parenteral amino acid mixtures provide?AM J Clin Nutr 2011;94(6):1396-8

H. Lochs, SP Allison, R. Meier, M. Pirlich, J, Kondrup; Guidelines on Enteral Nutrition: terminology, definitions and general topics;