Team approach to total parenteral nutrition.
The organization, function, and results of a total parenteral nutrition (TPN) team consisting of a surgical staff physician, a senior surgery resident, a nurse and a pharmacist are described. The TPN team has treated 160 patients. The incidence of septicemia as a complication of TPN has been less than 1% and the rate of serious metabolic derangements of TPN has been 2.7% for electrolyte aberrations and 5% for significant glycosuria in this series. It is recommended that hospitals that cannot provide such a team should refer patients requiring TPN to a center with a TPN team.
D006029:Glycosuria / Q000453:epidemiology; D006801:Humans; D008510:Medication Systems, Hospital; D008659:Metabolic Diseases / Q000139:chemically induced; D010288:Parenteral Nutrition; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D010348:Patient Care Team; D012017:Referral and Consultation; D018805:Sepsis / Q000453:epidemiology; D013714:Tennessee; D014882:Water-Electrolyte Balance / Q000187:drug effects