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Updated: May 21, 2025

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Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
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基因饮食患者住院患者的处方错误
Cheng Yu Yen1, Lauren Kronisch2, Kayleen Whitley2
1Department of Pharmacy, University of Chicago Medicine Comer Children's Hospital, Chicago, IL, USA.
概括
接受性饮食 (KD) 的住院儿童经常从药物中获得意外的碳水化合物,增加了发作风险. 这项研究发现,超过一半的入院患者订购了含碳水化合物药物,这突出了关键的安全问题.
科学领域:
- 儿科神经学 儿科神经学
- 临床药房 临床药房
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 饮食 (KD) 是对儿科的重要非药物治疗方法.
- 在KD患者中,意外的碳水化合物暴露会导致症的丧失和突破性发作.
- 住院对维持严格的饮食遵守提出了独特的挑战.
研究的目的:
- 确定传统饮食 (KD) 的住院儿童因药物无意中暴露于碳水化合物的发生率.
- 确定在住院期间给儿科患者服用含碳水化合物药物的频率和类型.
主要方法:
- 在KD治疗中患有的儿科患者 (≤18岁) 的回顾性队列研究.
- 纳入标准:诊断,KD或KD全营养,或GLUT-1遗传障碍.
- 主要终点:住院期间意外订购含碳水化合物药物的发生率.
主要成果:
- 分析了42名患者的66例住院病例.
- 52%的入院患者无意中注射了含有碳水化合物的药物.
- 64%的入院者无意中订购了含有碳水化合物的口服药物,平均每次入院2次.
结论:
- 基因饮食的患者在住院期间有很大的风险接受不适当的含碳水化合物药物.
- 药物和预混合IV溶液中的辅助剂有助于意外暴露在碳水化合物中.
- 这凸显了改善儿科治疗中药物审查流程的急需.
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