title: [Complications of peripheral parenteral nutrition. Clinical observations of 2 cases].
abstract: BACKGROUND
  Peripheral parenteral nutrition (PPN) is artificial nutrition used when digestive absorption is insufficient. It supplies the nutritional needs of the patient and permits administration through a peripheral catheter. WE PRESENT 2 CLINICAL CASES: The first one entails an epidermolisis through extravasation masked by temporo-spatial disorientation of the patient with appearance of flictenes (blisters). Prolonged treatment and consultation with plastic surgery were required. The second case entails a chemical phlebitis with early detection by nursing professionals. It was resolved with short term treatment and did not require consultation with the plastic surgeon.
  We elaborated a care plan aimed at identifying real or potential problems related with possible complications of intravenous PPN administration, such as phlebitis and extravasation. The aim of this research was prevention, early detection and treatment.
  
  
  CONCLUSIONS
  Phlebitis is related with catheter characteristics, in-dwelling time and high osmolarity of PPN. Early action decreases injury of the affected tissue. In case 1, the patient requires 19 days of curing. This was only 72 h in case 2.
  
  
  CONCLUSIONS
  The nursing staff plays an essential role in catheter election, localization, administration and preventing complications. Staff training and a procedure protocol greatly reduce the incidence of phlebitis, avoid discomfort for the patient and reduce health care cost.
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Son Espases, Palma de Mallorca, España. Electronic address: mariad.tomas@ssib.es.
authors.forename: M M
authors.initials: MM
authors.lastname: Tomàs Tomàs
authors.affiliation: Unidad de Cuidados Intensivos, Hospital Universitario Son Espases, Palma de Mallorca, España.
authors.forename: E
authors.initials: E
authors.lastname: Pérez Juan
authors.affiliation: Reanimación, Hospital Universitario Son Espases, Palma de Mallorca, España.
authors.forename: S M
authors.initials: SM
authors.lastname: Amorós Cerdá
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D010288:Parenteral Nutrition / Q000009:adverse effects*; D010689:Phlebitis / Q000209:etiology*; D012871:Skin Diseases / Q000209:etiology*
keywords: Atención de enfermería; Extravasación; Extravasation; Flebitis; North American Nursing Diagnosis Association; Nursing Interventions Classification; Nursing Outcomes Classification; Nursing care; Nutrición parenteral; Parenteral nutrition; Phlebitis