Nurición parenteral

Supplement to

JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
VOLUME 28, NUMBER 6, SUPPLEMENT NOVEMBER–DECEMBER 2004

An international journal of nutrition and metabolic support

Safe Practices for Parenteral Nutrition
Task Force for the Revision of Safe Practices for Parenteral Nutrition: Jay Mirtallo, MS, RPh, BCNSP, Chair, Todd Canada, PharmD, BCNSP, Deborah Johnson, MS, RN, VanessaKumpf, PharmD, BCNSP, Craig Petersen, RD, CNSD, Gordon Sacks, PharmD, BCNSP, David Seres, MD, CNSP, and Peggi Guenter, PhD, RN, CNSN Approved by A.S.P.E.N. Board of Directors July 21, 2004

0148-6071/04/2806-0S39$03.00/0 JOURNAL OF PARENTERAL AND ENTERAL NUTRITION Copyright © 2004 by the American Society for Parenteral and Enteral Nutrition

Vol. 28, No. 6 Printed in U.S.A.

Special Report
SafePractices for Parenteral Nutrition
Task Force for the Revision of Safe Practices for Parenteral Nutrition: Jay Mirtallo, MS, RPh, BCNSP, Chair, Todd Canada, PharmD, BCNSP, Deborah Johnson, MS, RN, Vanessa Kumpf, PharmD, BCNSP, Craig Petersen, RD, CNSD, Gordon Sacks, PharmD, BCNSP, David Seres, MD, CNSP, and Peggi Guenter, PhD, RN, CNSN APPROVED
BY

A.S.P.E.N. BOARD

OF

DIRECTORS JULY 21,2004 Special Considerations...................................S52 Standard Label Templates..............S50, S51, S52 Nutrient Requirements Nutrient Requirements: Adults................S53 Nutrient Requirements: Pediatrics.........S55 Aluminum contamination .....................S56 Practice Guidelines.....................................S56 Special Considerations ..........................S57Sterile Compounding of Parenteral Nutrition Formulations Screening the PN Order Background ..............................................S57 Practice Guidelines ................................S58 Special Considerations .......................S58 PN Compounding Background ..............................................S58 Practice Guidelines ................................S60 Quality Assurance of theCompounding Process Background ..............................................S60 Gravimetric Analysis .............................S60 Chemical Analysis...................................S60 Refractometric Analysis........................S60 In-Process Testing ..................................S60 Practice Guidelines ................................S61 Special Considerations......................S67 Stability and Compatibility of Parenteral Nutrition Formulations PN Stability...................................................S61 PN Compatibility .........................................S62 Medication Administration with PN....S63 Insulin Use with PN...........................S64 Practice Guidelines.....................................S64 Parenteral Nutrition Administration Venous AccessSelection, Care and Assessment ................................................................S65 Medical Equipment for PN Administration Filters.........................................................S66 Infusion Pumps and Administration Sets .............................................................S66 Administration Issues Related to PN Solution Properties.............................................S67 Patient Response to PN Administration ..............................................................S68

NOTICE: These A.S.P.E.N. Practice Guidelines for Safe Practices for Parenteral Nutrition are based upon general conclusions of health professionals who, in developing such guidelines, have balanced potential benefits to be derived from a particular mode of providing parenteralnutrition feeding formulations. The underlying judgment regarding the propriety for any specific practice guideline or procedure shall be made by the attending health professional in light of all the circumstances presented by the individual patient and the needs and resources particular to the locality. These guidelines are not a substitute for the exercise of such judgment by the health...