亲肠道营养的兼容性和稳定性:实际考虑
Joseph I Boullata1, Genene Salman2, Jay M Mirtallo3
1JBoullata, PharmD Consulting Services, Troy, Pennsylvania, USA.
概括
确保亲肠道营养 (PN) 的安全性需要了解成分相互作用. 本指南为医疗机构提供了一份蓝图,将PN兼容性和稳定性检查纳入常规实践,防止患者受到伤害.
科学领域:
- 临床药房 临床药房
- 营养支持 营养支持
- 制药复合物 制药复合物
背景情况:
- 亲肠道营养 (PN) 添加剂是复杂的,容易发生不兼容性和不稳定性.
- 这些问题可能会导致严重的患者伤害,如果不适当管理.
- 视觉检查是不够的;物理化学性质必须指导决策.
研究的目的:
- 将广泛的PN兼容性和稳定性数据提炼成一个实际的框架.
- 为了使医疗机构能够开发和实施有效的PN安全计划.
- 将兼容性和稳定性考虑纳入PN管理的所有阶段.
主要方法:
- 审查PN组件的物理化学性质.
- 在PN制备和管理的每个步骤中识别潜在的相互作用.
- 确定活性成分的度限制.
主要成果:
- 开发了一个可行的PN兼容性和稳定性管理蓝图.
- 该框架解决了PN处方,订单审查,准备和管理中的常规任务.
- 纳入这些考虑因素可以提高PN添加剂的安全性.
结论:
- 医疗机构必须将PN兼容性和稳定性检查纳入标准程序.
- 临床医生和家庭护理人员可以通过遵循既定指南,安全地提供适当的PN添加剂.
- 对PN添加剂的积极管理对于患者的安全至关重要.
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