Documente Academic
Documente Profesional
Documente Cultură
Wafaa O. Cafege
by BS, BCPS
IV/PN Supervisor Children's Pharmacy
KFMC
OBJECTIVES
Introduction
Situation in which PN is commonly
used
Initiation of PN
Administration of PN
Monitoring and management of PN
Complications of PN
Introduction
PN refers to combination of nutrients
–crystalline amino acids
Dextrose
fat emulsions
Electrolytes
Vitamins and minerals
PN admixture are two types:
Mixture of dextrose, amino acids,
vitamins, minerals are referred to
as 2-in-1 I.V fat infused
separately
Total nutrition admixture (TNAs),
3-in-1 contain IVFE in the same
container.
PN administered via a peripheral
line PPN or central line PN.
Situation in which PN is
commonly used
JCAHO. 2005 National Patient Safety Goals FAQs. www.jcaho.org/ accredited+organizations/patient+safety/05_npsg.html Accessed
December 8, 2004
Catheter occlusion: the inability to infuse a
solution and/or aspirate a blood sample
Subclavian vein thrombosis: can occlude a catheter
and manifest clinical symptoms of vascular
obstruction
Treatment: catheter removal; elevation of the affected arm,
catheter-directed thrombolytic agent infusion
Thrombotic occlusion : intraluminal clotting as a result
of inadequate flushing or blood reflux
Treat by instilling a Thrombolytic agent directly into catheter
JCAHO. 2005 National Patient Safety Goals FAQs. www.jcaho.org/ accredited+organizations/patient+safety/05_npsg.html Accessed
December 8, 2004
Infectious complications
75% catheter related infections occur in pediatric
receiving
Proper hand hygiene must be observed
Aseptic technique must be observed for the
insertion and care of the intravascular catheter
All catheter injection ports should be cleansed
with 70% alcohol before the system is accessed
Antibiotic lock solutions should not be routinely
used
JCAHO. 2005 National Patient Safety Goals FAQs. www.jcaho.org/ accredited+organizations/patient+safety/05_npsg.html Accessed
December 8, 2004
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Thank you