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단일 기관에서 지방유제 단독 제형 투여 처방의 적절성 평가
정혜련 ( Hye Ryun Jung ),은명온 ( Myoung On Eun ),방은숙 ( Eun Sook Bang ),이지현 ( Ji Hyun Lee ),김미향 ( Mi Hyang Kim ),홍정 ( Jeong Hong ),박은정 ( Eun Jung Park ),이재명 ( Jae Myeong Lee ) 한국정맥경장영양학회 2014 한국정맥경장영양학회지 Vol.6 No.3
Purpose: IV-lipid emulsion can be a nutritional supplement to provide essential fatty acids and energy for patients who need total parenteral nutrition support. The recommended administration dose of lipid emulsion is less than 2.5 g/kg/d and the rate should not exceed 0.15 g/kg/h for adult patients. The purpose of this study is to evaluate the adequacy of the currently prescribed administration rate of IV-lipid emulsion in a single center. Methods: We analyzed 1,739 lipid emulsion administration prescriptions in 1,095 patients over 18 years old at Ajou University Hospital from January 1, 2014 to March 31. Results: The median prescription rate of total lipid emulsion was 0.134 (0.012∼1.125) g/kg/h, and the exceeding portion of maximum recommended infusion rate was 36.9%. The median administration prescription rate of lipid emulsion was faster in 500 mL emulsions, compared to 250 mL emulsion (0.146 g/kg/h vs. 0.075 g/kg/h; P<0.001) and at emergency room (ER), compared to general ward (0.154 g/kg/h vs. 0.123; P<0.001). The exceeding portion of maximum recommended infusion rate of lipid emulsion was also higher in 500 mL emulsion, compared to 250 mL emulsion (52.2% vs. 30.4%; P<0.001) and at ER, compared to general ward (52.1% vs. 30.4%; P<0.001). Triglyceride level was higher in exceeding recommended infusion rate compared to less, but not statistically significant (119 mg/dL vs. 261 mg/dL; P=0.202). Conclusion: Administration prescription rate of lipid emulsion exceeded the recommended rate and this feature was dominant in 500 mL emulsion and at ER. Education and monitoring of lipid emulsion prescription is needed for appropriate lipid administration and prevention of fat overload syndrome.
상용 영양수액 투여 시 적정 비단백열량 질소 비율에 따른 수액 투여량 결정을 위한 도구의 개발
홍정 ( Jeong Hong ),이영주 ( Young Joo Lee ),송미경 ( Mee Kyung Song ),은명온 ( Myoung On Eun ),김미향 ( Mee Hyang Kim ),이연희 ( Youn Hee Lee ),안연희 ( Youn Hee Ahn ),김지양 ( Jee Yang Kim ) 한국정맥경장영양학회 2009 한국정맥경장영양학회지 Vol.2 No.1
Purpose: The purpose of this study was to make a numeric table for easy adjustment of the amount of 5% dextrose solution or 10% fat emulsion solution when added to a 2- or 3-chamber nutrient stock solution. Methods: Nutrient stock solutions were designated as group A or B according to the non-protein calorie-to-nitrogen ratio(NCR). The NCR of groups A and B was approximately 100 : 1 and 150 : 1, respectively. The weight (g) of protein which is to be administered to the patient was arranged in increasing order from 30~100 g in increments of 2 g. An imaginary NCR was arranged from 110 : 1 to 150 : 1.The difference between the imaginary NCR and the NCR of the nutrient stock solution (A) was multiplied by the grams of protein, which is the equivalent amount of additionally administrable calories. Each calorie value was divided by 3.4 or 1.1 to obtain a volume of 5% dextrose solution or 10% fat emulsion, and arranged in increasing order. All calculations were made with a Microsoft Excel program. Results: The numeric table was made for 2- and 3-chamber solutions in group A. The numeric table for the 2-chamber solution was set for determination of the volume and infusion rate of a 10% fat emulsion. The numeric table for the 3-chamber solution was for determination of the volume of a 5% dextrose solution. Conclusion: This numeric table can be easily used in adjusting the amount of 5% dextrose solution and 10% fat emulsion at the bedside. (KJPEN 2009;2(1):19-23)