A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing
Parenteral nutrition (PN) is a high-alert medication available for patient care within a complex clinical process. Beyond application of best practice recommendations to guide safe use and optimize clinical outcome, several issues are better addressed through evidence-based policies, procedures, a...
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| Formato: | Artículo |
| Lenguaje: | en_US |
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Libros Digitales - American Society for Parenteral and Enteral Nutrition
2015
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| Acceso en línea: | http://repositorio.ub.edu.ar/handle/123456789/5124 |
| Aporte de: |
| id |
I36-R142-123456789-5124 |
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dspace |
| institution |
Universidad de Belgrano |
| institution_str |
I-36 |
| repository_str |
R-142 |
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Repositorio Institucional - Universidad de Belgrano (UB) |
| language |
en_US |
| topic |
parenteral formulas/compounding nutrition parenteral nutrition clinical guidelines Fórmulas de composición parenteral Nutrición Nutrición parenteral Guías clínicas |
| spellingShingle |
parenteral formulas/compounding nutrition parenteral nutrition clinical guidelines Fórmulas de composición parenteral Nutrición Nutrición parenteral Guías clínicas Boullata, Joseph I. Gilbert, Karen Sacks, Gordon Labossiere, Reginald J. Crill, Cathy Goday, Praveen Kumpf, Vanessa J. Mattox, Todd W. Plogsted, Steve Holcombe, Beverly A.S.P.E.N. A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing |
| topic_facet |
parenteral formulas/compounding nutrition parenteral nutrition clinical guidelines Fórmulas de composición parenteral Nutrición Nutrición parenteral Guías clínicas |
| description |
Parenteral nutrition (PN) is a high-alert medication available for patient care within a complex clinical process. Beyond application
of best practice recommendations to guide safe use and optimize clinical outcome, several issues are better addressed through evidence-based
policies, procedures, and practices. This document provides evidence-based guidance for clinical practices involving PN prescribing, order
review, and preparation. Method: A systematic review of the best available evidence was used by an expert work group to answer a series
of questions about PN prescribing, order review, compounding, labeling, and dispensing. Concepts from the Grading of Recommendations,
Assessment, Development and Evaluation (GRADE) format were applied as appropriate. The specific clinical guideline recommendations
were developed using consensus prior to review and approval by the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board
of Directors. The following questions were addressed: (1) Does education of prescribers improve PN ordering? (2) What is the maximum
safe osmolarity of PN admixtures intended for peripheral vein administration? (3) What are the appropriate calcium intake and calciumphosphate
ratios in PN for optimal neonatal bone mineralization? (4) What are the clinical advantages or disadvantages of commercially
available premade (“premixed”) multichambered PN formulations compared with traditional/customized PN formulations? (5) What are the
clinical (infection, catheter occlusion) advantages or disadvantages of 2-in-1 compared with 3-in-1 PN admixtures? (6) What macronutrient
dosing limits are expected to provide for the most stable 3-in-1 admixtures? (7) What are the most appropriate recommendations for optimizing
calcium (gluconate) and (Na- or K-) phosphate compatibility in PN admixtures? (8) What micronutrient contamination is present in parenteral
stock solutions currently used to compound PN admixtures? (9) Is it safe to use the PN admixture as a vehicle for non-nutrient medication
delivery? (10) Should heparin be included in the PN admixture to reduce the risk of central vein thrombosis? (11) What methods of repackaging
intravenous fat emulsion (IVFE) into smaller patient-specific volumes are safe? (12) What beyond-use date should be used for (a) IVFE
dispensed for separate infusion in the original container and (b) repackaged IVFE? (JPEN J Parenter Enteral Nutr. XXXX;xx:xx-xx) |
| format |
Article |
| author |
Boullata, Joseph I. Gilbert, Karen Sacks, Gordon Labossiere, Reginald J. Crill, Cathy Goday, Praveen Kumpf, Vanessa J. Mattox, Todd W. Plogsted, Steve Holcombe, Beverly A.S.P.E.N. |
| author_facet |
Boullata, Joseph I. Gilbert, Karen Sacks, Gordon Labossiere, Reginald J. Crill, Cathy Goday, Praveen Kumpf, Vanessa J. Mattox, Todd W. Plogsted, Steve Holcombe, Beverly A.S.P.E.N. |
| author_sort |
Boullata, Joseph I. |
| title |
A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing |
| title_short |
A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing |
| title_full |
A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing |
| title_fullStr |
A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing |
| title_full_unstemmed |
A.S.P.E.N. Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing |
| title_sort |
a.s.p.e.n. clinical guidelines: parenteral nutrition ordering, order review, compounding, labeling, and dispensing |
| publisher |
Libros Digitales - American Society for Parenteral and Enteral Nutrition |
| publishDate |
2015 |
| url |
http://repositorio.ub.edu.ar/handle/123456789/5124 |
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