parenteral hgperalimentation

Parenteral nutrition.

Nutritional insufficiency, leading to early growth deficits has long-lasting effects, including short stature and poor neurodevelopmental outcomes. Early enteral feeding is commonly limited by immaturity of gastrointestinal motor function in preterm neonates. To ensure that a stressed premature infant receives an adequate but not excessive amount of glucose, the amount of carbohydrate delivered...

Parenteral Preparations

Parenteral (Gk, para enteron, beside the intestine) dosage forms differ from all other drug dosage forms, because they are injected directly into body tissue through the primary protective systems of the human body, the skin, and mucous membranes. They must be exceptionally pure and free from physical, chemical, and biological contaminants. These requirements place a heavy responsibility on the...

Peripheral Parenteral Nutrition

Access for parenteral nutrition is generally obtained by placement of a central ve n o u s catheter. Cannulation of the subclavian, internal jugular, or femoral veins with advancement of the catheter tip into the superior or inferior vena cava ach i eves central venous access. Catheter tip placement elsewhere than the vena cava is considered peripheral access. Based on catheter tip location, th...

Outpatient parenteral antimicrobial therapy.

Parenteral iron therapy options.

Parenteral iron therapy is occasionally necessary for patients intolerant or unresponsive to oral iron therapy, for receiving recombinant erythropoietin therapy, or for use in treating functional iron deficiency. There are now three parenteral iron products available: iron dextran, ferric gluconate, and iron sucrose. We summarize the advantages and disadvantages of each product, including risk ...

Approach to Parenteral Nutrition

• To know the different systems for parenteral nutrition; their advantages and limits; • To know the risks associated with the compounding/ready-to-use preparation of AiO PN admixtures (GMP and potential incompatibility reactions) and the pharmacist’s tasks and responsibility for an admixing service; • To understand the general advice not to admix drugs to PN AiO admixtures, unless documented o...