Total Parenteral Nutrition – TPN - The Doctor's Channel

Increased risk results from human error in pharmacy-mixed TPN

Rafael Barrera, MD, Director of the Surgical Intensive Care Unit at Long Island Jewish (LIJ) Medical Center in New York, explains how human error derived from pharmacy-mixed total parenteral nutrition (TPN) can increase the probability for complications as a result of taking the medicine. He advises using industry-based FDA-approved products as they do not pose the same risks due to human error, which can increase the risk of infection or metabolic complications.

Reading:

Driscoll DF. Compounding TPN admixtures: then and now. JPEN J Parenter Enteral Nutr. 2003 Nov-Dec;27(6):433-8; quiz 439.

Guglielmi FW, Regano N, Mazzuoli S, Fregnan S, Leogrande G, Guglielmi A, Merli M, Pironi L, Penco JM, Francavilla A. Cholestasis induced by total parenteral nutrition. Clin Liver Dis. 2008 Feb;12(1):97-11365, viii.

Acca M, Ragno A, Francucci CM, D’Erasmo E. Metabolic bone diseases during long-term total parenteral nutrition. J Endocrinol Invest. 2007;30(6 Suppl):54-9.

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Total Parenteral Nutrition – TPN

Increased risk results from human error in pharmacy-mixed TPN

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