Development of Clinical Application for a Nutritional Prescription Support System for Total Parenteral/Enteral Nutrition
| Autor: | Tohru Shoji, Tadashi Shiraishi, Koichiro Ozawa, Mitsuhiro Takeshita, Ryusho Oka, Koji Uwai, Syuzo Masuda, Chie Mihara, Yumi Matsuda, Yoshito Nakagawa |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE Pharmaceutical Science Aspiration pneumonia Enteral Nutrition medicine Humans Medical nutrition therapy Medical prescription Intensive care medicine Aged Aged 80 and over Patient Care Team Pharmacology business.industry Warfarin medicine.disease Patient Care Management Malnutrition Nutrition Assessment Prescriptions Parenteral nutrition Dietary Reference Intake Female Parenteral Nutrition Total business medicine.drug |
| Zdroj: | YAKUGAKU ZASSHI. 129:1077-1086 |
| ISSN: | 1347-5231 0031-6903 |
| DOI: | 10.1248/yakushi.129.1077 |
| Popis: | One of the important roles of pharmacists as members of a nutrition support team is nutritional prescription support. We developed a nutritional prescription support system (NPSS) that facilitates prescription support and analysis and evaluated its usefulness in nutritional therapy. An NPSS for prescription support and the management of patient information was created. With this NPSS, the nutritional status was assessed, and, on the basis of the results, such variables as the total energy expenditure were calculated. This system allows prescription support for parenteral nutrition (PN) therapy, enteral nutrition (EN) therapy, and the transition period between them. This system was used for 2 representative patients and evaluated. In a malnourished patient receiving oral warfarin, EN solutions were compared by means of the NPSS, and an appropriate EN solution was selected. In addition, the prothrombin time-international normalized ratio was monitored, and favorable results were obtained regarding the adjustment of the warfarin dose and nutritional management. In a patient with aspiration pneumonia, continuous nutritional management to EN from PN therapy was straightforwardly performed with the NPSS. This NPSS allows rapid, comprehensive nutritional management during the transition period to EN from PN therapy, despite these therapies being considered separately in conventional nutritional management. The NPSS is useful for simplifying prescription support and facilitating information sharing among members of a nutrition support team. |
| Databáze: | OpenAIRE |
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