Commonly placed into the right or left subclavian vein and then threaded into the superior vena cava . Jugular vein can be used as the starting point for catheter insertion. Typical line consists of a 16-gauge catheter, if it will be a line that is used for a length of time, the catheter will be silicone, they are less reactive and are soft and flexible, approximately 90 cm long. Part of the catheter lies in a subcutaneous tunnel and emerges just lateral to the sternum at approximately the fourth or fifth rib. Infusion protocol may vary from physician to physician and institution to institution.
Infusion pump is used.
Therefore, gradual termination will keep pt. from becoming hypoglycemic. Amino acids are not considered acceptable sources of energy in the pts. being replenished, since the objective is to have these patients retain rather than deaminate amino acids for energy. Handbook of Cl. P. 295 recommends using protein in total energy calculation. Course Syllabus Medical Nutrition Therapy Home Comments and Suggestions Contents of this publication are subject to change without notice.