[The participation of pharmacy services in evaluating parenteral nutrition programs].
The situation of parenteral nutrition practised in our hospital over one year was analyzed from the standpoint of Pharmacy Services, with a random sample of 26 patients with 322 days on parenteral nutrition. The most important results showed that the degree of compliance of the application sheets was 85.3%. The protocolized nutrient units were used in 80.1% of total days on parenteral nutrition, with an average of 0.97 +/- 0.60 modifications per day 855.0% electrolytes and 39.9% insulin). During the follow-up of parenteral nutrition, analytical determinations were performed every 2.3 +/- 1.8 and 4.2 +/- 2.6 days in blood and urine respectively. 30 biochemical alterations were observed, in particular hyperglycaemia (26.7%), hypoglycaemia (10%), hyperpotassemia (13.3%) and hyponatraemia (13.3%). In 70% of cases, corrective action was taken within 24 hours. The average number of multidisciplinary communications was 4.5 per patient. The initiative was taken by the pharmacist in 75.8% of cases, and the most frequent reason for communication was analysis of biochemical situation of patient and proposal for modification in daily intake.
Hernández de la Figuera y Gómez
T
T
Jiménez Torres
N V
NV
Ronchera Oms
C L
CL
Ordovás Baines
J P
JP
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000592:standards / Q000706:statistics & numerical data; D010607:Pharmacy Service, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods / Q000706:statistics & numerical data; D011787:Quality of Health Care / Q000458:organization & administration / Q000706:statistics & numerical data; D011897:Random Allocation; D013030:Spain
Participación de los Servicios de Farmacia en la valoración de los programas de nutrición parenteral.