Metabolic complications of parenteral nutrition in adults, Part 2

LAUR Repository

Show simple item record

dc.contributor.author Btaiche, IF
dc.contributor.author Khalidi, N
dc.date.accessioned 2016-10-06T09:38:51Z
dc.date.available 2016-10-06T09:38:51Z
dc.date.copyright 2004 en_US
dc.date.issued 2016-10-06
dc.identifier.issn 1695-0674 en_US
dc.identifier.uri http://hdl.handle.net/10725/4516
dc.description.abstract PURPOSE: Common metabolic complications associated with parenteral nutrition (PN) are reviewed, and the consequences of overfeeding and variables for patient monitoring are discussed. SUMMARY: Although PN is a lifesaving therapy in patients with gastrontestinal failure, its use may be associated with metabolic, infectious, and technical complications. The metabolic complications associated with PN in adult patients include hyperglycemia, hypoglycemia, hyperlipidemia, hypercapnia, refeeding syndrome, acid-base disturbances, liver complications, manganese toxicity, and metabolic bone disease. These complications may occur in the acute care or chronic care patient. The frequency and severity of these complications depend on patient- and PN-specific factors. Proper assessment of the patient's nutritional status; tailoring the macronutrient, micronutrient, fluid, and electrolyte requirements on the basis of the patient's underlying diseases, clinical status, and drug therapy and monitoring the patient's tolerance of and response to nutritional support are essential in avoiding these complications. Early recognition of the signs and symptoms of complications and knowledge of the available pharmacologic and nonpharmacologic therapies are essential to proper management. PN should be used for the shortest period possible, and oral or enteral feeding should be initiated as soon as is clinically feasible. The gastrointestinal route remains the most physiologically appropriate and cost-effective way of providing nutritional support. CONCLUSION: PN can lead to serious complications, many of which are associated with overfeeding. Close management is necessary to recognize and manage these complications. en_US
dc.language.iso en en_US
dc.title Metabolic complications of parenteral nutrition in adults, Part 2 en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 201105289 en_US
dc.author.department Pharmacy Practice Department en_US
dc.description.embargo N/A en_US
dc.relation.journal American Journal of Health-System Pharmacy en_US
dc.journal.volume 61 en_US
dc.journal.issue 19 en_US
dc.article.pages 2050-2057 en_US
dc.identifier.ctation Btaiche, I. F., & Khalidi, N. (2004). Metabolic complications of parenteral nutrition in adults, part 2. American journal of health-system pharmacy, 61(19), 2050-2057. en_US
dc.author.email imad.btaiche@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.ajhp.org/content/61/19/2050.short en_US

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search LAUR

Advanced Search


My Account