中国药房Issue(23)：3189-3191,3.DOI:10.6039/j.issn.1001-0408.2015.23.07
我院静脉用药调配中心全静脉营养液处方分析
Analysis of Total Parenteral Nutrition Solution Prescription in PIVAS
商荣华 1甘润鑫 1林阳1
作者信息
- 1. 首都医科大学附属北京安贞医院药事部，北京 100029
- 折叠
摘要
Abstract
OBJECTIVE:To improve the safety and effectiveness of total parenteral nutrition(TPN),and to provide reference for clinical rational use. METHODS:1400 TPN prescriptions in PIVAS from Jan. to Jun. 2013 were analyzed statistically in re-spects of rationality and stability. RESULTS:Among 1400 TPN prescriptions,there were 433 prescriptions of unreasonable glu-cose-lipid ratio(30.93%),782 prescriptions of unreasonable hot-nitrogen ratio(55.86%),443 prescriptions of unreasonable liquid amount(31.64%),1 261 prescriptions of unreasonable total calorie(90.07%)and 383 prescriptions of unreasonable treatment du-ration (27.36%). CONCLUSIONS:TPN prescription design is reasonable,but there are still some problems as low calorie,too high or too low hot nitrogen ratio,improper electrolyte dosage,improper duration of nutrition support. Clinicians should accurately assess the nutritional status of patients to design the prescriptions rationally and improve clinical safety and effectiveness of TPN. Pharmacists should further ensure the reasonableness of the prescription by prescription checking.关键词
全静脉营养液/处方分析/不合理处方Key words
Total parenteral nutrition/Prescription analysis/Unreasonable prescriptions分类
医药卫生引用本文复制引用
商荣华,甘润鑫,林阳..我院静脉用药调配中心全静脉营养液处方分析[J].中国药房,2015,(23):3189-3191,3.
