Nutrition and Dietetic

Dietetic referrals to - Carmel O'Hanlon - Bleep 293 (Vascular patients)

The following patients should be referred to Dietitian

• patients for TPN or for tube feeding

• All Diabetics

• Malnourished patients

• Severe acute pancreatitis patients, all chronic pancreatitis patients

• Cholecystitis patients $\rightarrow$ conservative management

• Dysphagic patients e.g. pre-esophagectomy patients

• Obese patients with PVD

• Hypercholesterolaemic patients $<$ 70 years of age

• Inflammatory bowel disease

• Radiation enteritis

• Enterocutaneous fistula - high output

• Major surgery where GI tract is expected to be unusable for 5-7 days

Consider enteral feeding where possible (e.g. nasogastric, PEG, jejunal). Parental nutrition may be used as supplement if necessary. If the Gut works - use it!!