Role of the Nurse in Peripheral Vein Needle Replacement

PEDIATRICS ◽  
1977 ◽  
Vol 60 (5) ◽  
pp. 781-781
Author(s):  
S. Gorham Babson ◽  
Gerda I. Benda ◽  
Jayant P. Shenai
Keyword(s):  
Critical Care ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Health Sciences ◽  
Peripheral Vein ◽  
Neonatal Nurses ◽  
Intravenous Infusions ◽  
Oregon Health ◽  
The University

We agree with Taeusch and Heafitz in their letter to the editor (Pediatrics 57:977, June 1976) that total or near total parenteral nutrition can be given through needles placed in peripheral veins for weeks and even months. Whether one uses the "Usher" needles or the "butterfly" model, the success in maintaining infusions depends on the ability and availability of the operator. In the NICC at the University of Oregon Health Sciences Center, neonatal nurses have had the responsibility of maintaining peripheral intravenous infusions in both medical and surgical infants for nearly ten years, involving several thousand neonates referred for critical care.

scholarly journals Role of Faculty Development Programs in Medical Education at the University of Zimbabwe College of Health Sciences, Zimbabwe

2018 ◽  
Vol 84 (1) ◽  
pp. 183 ◽  
Author(s):  
Antony Matsika ◽  
Kusum Nathoo ◽  
Margaret Borok ◽  
Thokozile Mashaah ◽  
Felix Madya ◽  
...  
Keyword(s):  
Medical Education ◽  
Faculty Development ◽  
Health Sciences ◽  
Development Programs ◽  
The University ◽  
University Of Zimbabwe

Home Parenteral Nutrition in Patients with Systemic Sclerosis: A Retrospective Review of 12 Cases

2012 ◽  
Vol 39 (5) ◽  
pp. 1004-1007 ◽  
Author(s):  
HANI JAWA ◽  
GAIL FERNANDES ◽  
OLIVIA SAQUI ◽  
JOHANNE P. ALLARD
Keyword(s):  
Body Mass Index ◽  
Systemic Sclerosis ◽  
Nutritional Status ◽  
Parenteral Nutrition ◽  
Functional Status ◽  
Total Parenteral Nutrition ◽  
Retrospective Review ◽  
Karnofsky Score ◽  
The Mean ◽  
The University

Objective.To evaluate the effect of home total parenteral nutrition (HTPN) on the nutritional and functional status of patients with systemic sclerosis (SSc).Methods.Retrospective review of SSc patients from the HTPN database at the University Health Network, Toronto, Canada, from 1998 to 2010.Results:In total 12 subjects (9 females, 3 males) with SSc were identified. At initiation of HTPN, the age was 48.75 ± 3.94 years and the median body mass index was 16.8 kg/m2 (range 12.3–21.3). This significantly increased to 18.3 kg/m2 (17.0–21.7) at 6 months and to 19.7 kg/m2 (17.0–24.6) at 12 months. The mean Karnofsky score at baseline was 58.00 ± 3.27, and the score at 12 months of 39.00 ± 13.29 did not change significantly.Conclusion.HTPN improved the nutritional status of these patients with SSc but it did not improve their functional status.

Have we got ‘patient-centric sampling’ right?

Bioanalysis ◽  
2020 ◽  
Vol 12 (13) ◽  
pp. 869-872
Author(s):  
Remco A Koster
Keyword(s):  
Analytical Method ◽  
Method Development ◽  
Drugs Of Abuse ◽  
Medical Center ◽  
Dried Blood Spots ◽  
Health Sciences ◽  
The University ◽  
Development And Validation ◽  
Associate Director

RA Koster currently works as Associate Director of Bioanalytical Science at the LC–MS/MS department at PRA Health Sciences in the Laboratory in Assen, The Netherlands. He is responsible for the LC–MS/MS analytical method development and leads a team of method development analysts and scientists. As global microsampling specialist within PRA he is interested in all developments regarding microsampling and aims to continuously improve microsampling techniques. He has been working in the field of bioanalysis for 19 years, in which he performed and supervised numerous analytical method developments using LC–MS/MS. He started his career in 2001 at Pharma Bio-Research (before it was acquired by PRA) as an LC–MS/MS analyst. In 2005, he moved to the University Medical Center Groningen where he focused on the development and validation of analytical methods for drugs and drugs of abuse in matrices like blood, plasma, hair, saliva, dried blood spots and volumetric absorptive microsampling with LC–MS/MS. In 2015 he obtained his PhD on the subject ‘The influence of the sample matrix on LC–MS/MS method development and analytical performance’. In 2017, he started as Senior Scientist at PRA Health Sciences and in 2019, he accepted his current role of Associate Director of Bioanalytical Science. He is a (co-)author of more than 35 publications.

Dosing errors in total parenteral nutrition prescriptions at a specialized cancer care hospital of Lahore: The role of clinical pharmacist

2020 ◽  
pp. 107815522092301
Author(s):  
Zunaira Akbar ◽  
Hamid Saeed ◽  
Zikria Saleem ◽  
Sidra Andleeb
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Enteral Feeding ◽  
Cancer Care ◽  
Inappropriate Prescribing ◽  
Major Complication ◽  
Care Hospital ◽  
Study Objective ◽  
Pharmacy Department

Study objective To determine the role of pharmacist in identifying the frequency of errors in total parenteral nutrition prescriptions in cancer patients for the years 2015 and 2016. Total parenteral nutrition has a high potential for medical errors because of its complex composition, thus leading to severe complications. Pharmacist review of the prescriptions reduces the risk of inappropriate prescribing, preparation, and administration of parenteral nutrition. Methodology An observational study was performed by collecting data of total parenteral nutrition prescriptions of 71 patients for the last two years from Pharmacy Department of specialized cancer care hospital. Results It was found that the frequency of dosing errors and incomplete prescriptions was higher in 2015 compared to 2016. Additionally, the frequency of macro and micronutrients dosing errors were higher in adults (23.4% and 66.2%) compared to pediatrics (14.6% and 46.6%). Furthermore, the frequency of illegible prescriptions was higher (5.03%) in year 2016 as compared to year 2015 (1.64%). Nevertheless, such dose interventions improved patient’s weight (20%) and promoted enteral feeding (42.3%). Major complication was hypophosphatemia (39.4%) followed by hyperglycemia (10%) and catheter-induced infection, i.e. sepsis (4.2%). Conclusion In conclusion, data suggested that pharmacist played instrumental role in identifying and rectifying total parenteral nutrition dosing errors for both micronutrients and macronutrients—with higher frequency in 2015 compared to 2016, leading to improvements in total parenteral nutrition-related complications and switches to enteral feeding.

The role of total parenteral nutrition in the patient with cancer

1995 ◽  
Vol 32 (10) ◽  
pp. 833-917 ◽  
Author(s):  
Lawrence E. Harrison ◽  
Murray F. Brennan
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition

Role of supplementation of a nucleic acidsolution on the intestinal mucosa under total parenteral nutrition

Nutrition ◽  
1997 ◽  
Vol 13 (4) ◽  
pp. 369-371 ◽  
Author(s):  
Toshimasa Tsujinaka ◽  
Masanori Kishibuchi ◽  
Shouhei Iijima ◽  
Masahiko Yano ◽  
Morito Monden
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Intestinal Mucosa

scholarly journals Role of Thiamine in Refeeding Syndrome in Children

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Case Report ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Tertiary Care ◽  
Intestinal Resection ◽  
Current Evidence ◽  
Care Hospital ◽  
Refeeding Syndrome ◽  
Wide Range

Purpose, Setting and Subjects: We conducted a case report study of a postoperative pediatric patient on total parenteral nutrition managed by a multidisciplinary team in a tertiary care hospital. In October 2020, data of nutritional status, hypophosphatemia, electrolyte and metabolic imbalance, and the role of thiamine supplement were reviewed. Background: Refeeding Syndrome is usually defined as the possibly lethal maldistribution of fluids and electrolytes that could take place in malnourished patients receiving enteral or parenteral refeeding. This is due to hormonal and metabolic disturbances that may lead to critical clinical deterioration. The biochemical key feature of Refeeding Syndrome is hypophosphatemia. In general, the syndrome is complicated and may also incorporate abnormal electrolytes and fluid balance; changes in serum level of protein, glucose, and the metabolism of fat; thiamine deficiency; hypokalemia; and hypomagnesaemia. Case Report: an ex-preterm 6-year-old boy who underwent major intestinal resection due to necrotizing enterocolitis (NEC) during his stormy neonatal period, presented to ED with constipation for 2 days; the patient was admitted in the pediatric ward under combined care with Pediatric Surgery, as a case of large bowel obstruction for conservative management. He had cachexic appearance, global developmental delay (GDD), and faltering growth. Subsequently and during his PICU stay, he suffered a fluctuating course of electrolytes imbalance a few days after commencing total parenteral nutrition (TPN), and developed altered mental status that responded well to thiamine infusions to resume his baseline sensorium within 48 hours. Conclusions: The role of thiamine in Refeeding Syndrome is extremely underestimated, despite the current evidence of its high efficacy. However, the fussy exclusion mechanism to reach the diagnosis is probably the reason behind the delaying of treatment in most of the cases. A wide range of patients are at risk of developing Refeeding Syndrome, especially malnourished children, as in this case report. Categories: Nutrition, Surgery, Pediatrics, Gastroenterology.

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