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Metabolic Occurrences in Total Parenteral Nutrition Patients Managed by a Nutrition Support Team
Author(s) -
Dodds Elizabeth S.,
Murray John D.,
Trexler Katherine M.,
Grant John P.
Publication year - 2001
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453360101600204
Subject(s) - medicine , parenteral nutrition , intensive care medicine , clinical nutrition , adverse effect , pediatrics , emergency medicine
Few reports have been published examining the impact of a nutrition support service on avoiding serious metabolic complications in hospitalized patients receiving total parenteral nutrition (TPN). We report a high frequency of metabolic abnormalities, with 33% of patients having at least one laboratory value outside the normal range during their course of TPN. Nonetheless, only 13 abnormalities in 11 patients were associated with adverse clinical symptoms in 2747 courses of TPN over 7 years (0.47%). Data were obtained by retrospective analysis of a prospectively maintained nutrition support team database. This report is offered as a standard of care to be attained.