Nutrition and TPN in Cancer Care

May 8, 2025

TPN and Nutrition in Cancer Treatment

Importance of Nutrition

  • Essential for keeping the body strong and healthy during cancer treatment.
  • Fuels the body and aids in adhering to scheduled treatment plans.

Challenges in Nutrition During Cancer Treatment

  • Difficulty in eating or tolerating tube feeding.
  • Possible deficiency in essential nutrients.

Introduction to TPN (Total Parenteral Nutrition)

What is TPN?

  • A method of feeding that bypasses the digestive system.
  • Delivers nutrients directly into the bloodstream.

Components of TPN

  • Vitamins and Minerals: Essential for health and growth.
  • Protein: Aids in healing, muscle building, tissue repair, and infection fighting.
  • Carbohydrates: Primary energy source, aids vitamin absorption.
  • Fat: Provides energy.

How TPN Works

  • Continuously distributes nutrients into the body.
  • Administered via an IV, potentially up to 24 hours per infusion.
  • Can be administered while sleeping.

Administration and Mobility

  • Delivered through a central line.
  • Not painful.
  • Allows mobility with IV stands and backpacks.
  • Possible to administer TPN at home.

Addressing Malnutrition

  • Malnutrition common in cancer patients, even those eating normally.
  • TPN helps reverse malnutrition.
  • Temporary solution aimed at eventually returning to normal eating or tube feeding.

Risks and Considerations

  • Long-term use of TPN not recommended (risk of infections, liver damage).
  • TPN is a temporary aid.

Support and Goals

  • Dietitian and medical team work to enhance nutrition.
  • Goals include maintaining healthy weight, growth, development, better feeling, and faster healing.

Questions and Communication

  • Encourage discussion with a dietitian for any questions regarding TPN.