Supplementary nutrition in a bag?

Original title: Supplementary nutrition in a bag? Know about nutrition therapy in one article!

In the ward, the lady nurse pushed bags of liquid in~

In the ward, the lady nurse pushed bags of liquid in~

The patients and their families chatted with each other.

The patients and their families chatted with each other.

Huh~~~ what is this?

Huh~~~ what is this?

This is a "parenteral nutrition solution", commonly known as a "three-liter bag"

This is a "parenteral nutrition solution", commonly known as a "three-liter bag"

food? hanging? painted?

food? hanging? painted?

Parenteral nutrition, also known as "Intravenous Nutrition (IVN)", is a nutritional support therapy that provides essential nutrients for human metabolic needs through parenteral routes, mainly through central veins (CVC, PICC, infusion port), peripheral veins ( PVC) by instillation or pumping slowly

Parenteral nutrition, also known as "Intravenous Nutrition (IVN)", is a nutritional support therapy that provides essential nutrients for human metabolic needs through parenteral routes, mainly through central veins (CVC, PICC, infusion port), peripheral veins ( PVC) by instillation or pumping slowly

What's in here? Why is it milky white like milk, and some are yellowish?

Parenteral nutrition solutions provide all essential nutrients, including glucose, amino acids, fats, water, electrolytes, vitamins, and trace elements, in exact amounts that vary from person to person

Parenteral nutrition solutions provide all essential nutrients, including glucose, amino acids, fats, water, electrolytes, vitamins, and trace elements, in exact amounts that vary from person to person

Wow~~~ Supplements can really be done in one bag!

wait! ! !

wait! ! !

Standard treatment process, reasonable nutrition plan,

Standard treatment process, reasonable nutrition plan,

The standardized configuration and strict audit of pharmacists,

The standardized configuration and strict audit of pharmacists,

Check the nutrition treatment for patients at every level!

Check the nutrition treatment for patients at every level!

Who can receive parenteral nutrition support?

Who can receive parenteral nutrition support?

After nutritional risk screening, it is clear that there is a nutritional risk, and patients who cannot supplement adequate nutrition through diet or "enteral nutrition", including: patients with gastrointestinal dysfunction or failure and unable to implement enteral nutrition; enteral nutrition Patients with insufficient intake to meet the nutritional needs of the body; patients with good nutrition but still unable to meet nutritional needs (<60%) after 7 days of enteral nutrition

After nutritional risk screening, it is clear that there is a nutritional risk, and patients who cannot supplement adequate nutrition through diet or "enteral nutrition", including: patients with gastrointestinal dysfunction or failure and unable to implement enteral nutrition; enteral nutrition Patients with insufficient intake to meet the nutritional needs of the body; patients with good nutrition but still unable to meet nutritional needs (<60%) after 7 days of enteral nutrition

Who should not be given parenteral nutrition:

Who should not be given parenteral nutrition: Who should not be given parenteral nutrition:

1.

1.

2.

3.

4.

5.

6.
Dying or irreversible coma patients,
etc.

Parenteral nutrition monitoring

Parenteral nutrition monitoring

The blood glucose was monitored 2-3 times on the first day, and then once a day or every other day; patients who received nutritional support for a longer period of time were prone to liver and kidney damage, and the risk of infection was also significantly increased
.
Patients with parenteral nutrition should frequently monitor biochemical indicators such as blood routine, electrolytes, liver and kidney function, and blood lipids
.
Nitrogen balance monitoring if necessary
.
Abdominal hepatobiliary ultrasonography if necessary
.

The blood glucose was monitored 2-3 times on the first day, and then once a day or every other day; patients who received nutritional support for a longer period of time were prone to liver and kidney damage, and the risk of infection was also significantly increased
.
Patients with parenteral nutrition should frequently monitor biochemical indicators such as blood routine, electrolytes, liver and kidney function, and blood lipids
.
Nitrogen balance monitoring if necessary
.
Abdominal hepatobiliary ultrasonography if necessary
.

Precautions when using parenteral nutrition

Precautions when using parenteral nutrition

1.
Pay close attention to changes in the appearance of parenteral nutrition during instillation
.

1.
Pay close attention to changes in the appearance of parenteral nutrition during instillation
.

2.
The parenteral nutrition solution containing insulin should shake the bag gently every 1~2h to mix well to prevent hypoglycemia
.

2.
The parenteral nutrition solution containing insulin should shake the bag gently every 1~2h to mix well to prevent hypoglycemia
.

3.
If the liquid level appears stratified, it should be shaken immediately; if yellow oil droplets are precipitated, the infusion should be stopped immediately and the medical staff should be notified
.

3.
If the liquid level appears stratified, it should be shaken immediately; if yellow oil droplets are precipitated, the infusion should be stopped immediately and the medical staff should be notified
.

4.
If you have any unwell symptoms, contact the medical staff immediately
.

4.
If you have any unwell symptoms, contact the medical staff immediately
.

For more medication questions, please consult the pharmacy clinic

For more medication questions, please consult the pharmacy clinic For more medication questions, please consult the pharmacy clinic For more medication questions, please consult the pharmacy clinic

Pharmacy clinic

Pharmacy clinic

The pharmacy clinic is currently composed of specialist clinical pharmacists and senior pharmacists of different professions, whose professional fields cover anti-infection, cardiovascular, digestive, endocrinology, pediatrics, critical care, respiratory, tumor, pregnancy and lactation,
etc.

The pharmacy clinic is currently composed of specialist clinical pharmacists and senior pharmacists of different professions, whose professional fields cover anti-infection, cardiovascular, digestive, endocrinology, pediatrics, critical care, respiratory, tumor, pregnancy and lactation,
etc.

Opening hours: Monday to Friday (except Thursday afternoon business study): 8:00-12:00 am, 15:00-18:00 pm
.

Opening hours: Monday to Friday (except Thursday afternoon business study): 8:00-12:00 am, 15:00-18:00 pm
.
Opening hours:

Location: Window 29 on the far right of the outpatient pharmacy on the first floor of the outpatient building
.

Location: Window 29 on the far right of the outpatient pharmacy on the first floor of the outpatient building
.
Location: Location: Window 29 on the far right of the outpatient pharmacy on the first floor of the outpatient building
.

How to see a doctor: You can make an appointment online or register on the spot
.

How to see a doctor: You can make an appointment online or register on the spot
.
How to see a doctor: How to see a doctor: You can make an appointment online or register on the spot
.

Service content: Pharmacists provide corresponding pharmaceutical services, establish outpatient medical records for patients, issue "Consulting Opinions", and carry out pharmaceutical follow-up
.

Service content: Pharmacists provide corresponding pharmaceutical services, establish outpatient medical records for patients, issue "Consulting Opinions", and carry out pharmaceutical follow-up
.
Service content: Service content: Pharmacists provide corresponding pharmaceutical services, establish outpatient medical records for patients, issue "Advice Letters", and carry out pharmacy follow-up
.

More medication questions

More medication questions

references:

references:

[1] Subcommittee on the Approval of Terms of Parenteral and Enteral Nutrition of Chinese Medical Association.
Terms of Parenteral and Enteral Nutrition [M].
Beijing: Science Press, 2019.
1-11

[1] Subcommittee on the Approval of Terms of Parenteral and Enteral Nutrition of Chinese Medical Association.
Terms of Parenteral and Enteral Nutrition [M].
Beijing: Science Press, 2019.
1-11

[2] Clinical Pharmacy Consensus on Parenteral Nutrition (Second Edition) [J].
Pharmacy Today, 2017, 27(05): 289-303.

[2] Clinical Pharmacy Consensus on Parenteral Nutrition (Second Edition) [J].
Pharmacy Today, 2017, 27(05): 289-303.

[3] China Anti-Cancer Association Cancer Nutrition Professional Committee, National Key Laboratory of Market Supervision (Food for Special Medical Oncology), China Nutrition and Health Food Association Special Medical Purpose Formula Food Application Committee.
Standardized surgical nutrition diagnosis and treatment demonstration ward standards [J].
Tumor Electronic Journal of Metabolism and Nutrition, 2022, 9(02): 175-184.

[3] China Anti-Cancer Association Cancer Nutrition Professional Committee, National Key Laboratory of Market Supervision (Food for Special Medical Oncology), China Nutrition and Health Food Association Special Medical Purpose Formula Food Application Committee.
Standardized surgical nutrition diagnosis and treatment demonstration ward standards [J].
Tumor Electronic Journal of Metabolism and Nutrition, 2022, 9(02): 175-184.

[4] Shi Hanping.
Nutritional diagnosis and implementation process of malignant tumor patients [J].
Chinese Journal of Practical Surgery, 2018, 38(03): 257-261.

[4] Shi Hanping.
Nutritional diagnosis and implementation process of malignant tumor patients [J].
Chinese Journal of Practical Surgery, 2018, 38(03): 257-261.

Content source: Wang Heling, Xie Xiangwei, Huang Zhenguang, Wei Kunxuan, Department of Pharmacy

Editor: He Mengying

Proofreading: Wei Na

Review: Lan Feiyan

Content source: Wang Heling, Xie Xiangwei, Huang Zhenguang, Wei Kunxuan, Department of Pharmacy

Editor: He Mengying

Proofreading: Wei Na

Review: Lan Feiyan

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