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PARENTERAL NUTRITION CONSULT REQUEST FORM TO BE COMPLETED BY VETERINARIANDate: Veterinarian Name: Please Return to Dr. Mere StrattonPhelps at:Veterinarian Phone Number: 3407 Mill brook Court Best
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How to fill out parenteral nutrition consult request
How to fill out parenteral nutrition consult request
01
To fill out a parenteral nutrition consult request, follow these steps:
02
Begin by providing the patient's name, age, and medical record number.
03
Next, include the reason for the consult request, such as the patient's inability to tolerate oral nutrition or their specific nutrient deficiencies.
04
Include the patient's current weight, height, and body mass index (BMI) for accurate calculations.
05
Specify any relevant medical conditions or complications that may affect the nutrition plan, such as gastrointestinal disorders or liver disease.
06
Indicate any allergies or intolerances to specific nutrients, medications, or dietary components.
07
Provide relevant laboratory values, including complete blood count, electrolyte levels, liver function tests, and nutritional markers.
08
Describe the current nutritional support the patient is receiving, if any, including enteral nutrition or total parenteral nutrition.
09
Include any additional information or specific concerns regarding the patient's nutrition status.
10
Lastly, provide contact information for the requesting healthcare professional in case further clarification or communication is needed.
Who needs parenteral nutrition consult request?
01
A parenteral nutrition consult request is needed for patients who require specialized intravenous feeding due to their inability to consume or absorb adequate nutrients orally or through tube feeding.
02
Some examples of patients who may need a parenteral nutrition consult include:
03
- Individuals with severe malnutrition or significant weight loss
04
- Cancer patients undergoing chemotherapy or radiation therapy
05
- Patients with inflammatory bowel disease (Crohn's disease, ulcerative colitis)
06
- Those with short bowel syndrome or malabsorption disorders
07
- Patients recovering from major surgeries or trauma
08
- Individuals with intestinal failure or bowel obstruction
09
- Patients with severe gastrointestinal disorders or motility disorders
10
- Individuals with chronic illnesses affecting their nutritional status
11
Overall, a parenteral nutrition consult request is necessary for patients who cannot meet their nutritional needs through oral intake or enteral nutrition and require intravenous feeding for an extended period.
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What is parenteral nutrition consult request?
Parenteral nutrition consult request is a request for a specialized nutritional therapy that bypasses the digestive system and delivers nutrients directly into the bloodstream.
Who is required to file parenteral nutrition consult request?
Healthcare providers such as doctors, dietitians, or nurses may be required to file a parenteral nutrition consult request.
How to fill out parenteral nutrition consult request?
Parenteral nutrition consult request can be filled out by providing patient information, medical history, nutritional needs, and any other relevant details.
What is the purpose of parenteral nutrition consult request?
The purpose of a parenteral nutrition consult request is to ensure that patients who are unable to get adequate nutrition orally receive the necessary nutrients through intravenous therapy.
What information must be reported on parenteral nutrition consult request?
Information such as patient's name, age, diagnosis, medical history, current nutritional status, and specific nutritional requirements must be reported on a parenteral nutrition consult request.
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