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Top Pick:
Palm
OS Tools
A great list
of free online palm os tools for clinical
dietitians. Also have links to other sites
with free software.
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Clinical Nutrition Facts |
Anti-emetic therapy is the controlling of nausea and vomiting through various medications/therapies. Some work at the brain level to affect vomiting center, while others work on the gut by increasing transit and digestion.
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Headlines
| NUTRITION
SUPPORT NEWS |
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Update in Homecare!
Howard L, Ashley C, Lyon D, Shenkin A. Autopsy tissue trace elements in 8 long-term parenteral nutrition patients who received the current U.S. Food and Drug Administration formulation. J Parenter Enteral Nutr. 2007;31:388—396.
The aim of the study was to provide more information about parenteral trace element requirements in long-term parenteral nutrition (PN) patients. Autopsy tissue studies were completed in 8 long- term PN patients with short bowel syndrome. Samples were taken of heart, skeletal muscle, liver and kidney. Iron, zinc, copper, chromium, selenium and manganese levels were measured. All patients received multiple trace element 5 concentrate plus extra zinc to replace ostomy losses (3-5 mg/L of gastrointestinal losses).
Duration of PN ranged from 2-21 years (average 14 years). Age ranged from 29-78 years old. Two patients who had liver disease had copper and manganese removed when the bilirubin was elevated.
Comparisons were made to 45 controls done at same lab who did not have any gastrointestinal disease. Results were as follows:
- iron was present in normal concentrations in all organs studied.
- zinc was normal in heart and occasionally elevated in the kidney and frequently elevated in the liver.
- copper was normal in the heart and skeletal muscle but very ...
Tue, 18 Dec 2007 22:58:46 +0000
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New! Homecare Research Abstracts
Home Parenteral Nutrition Support in Adults: Experience of a Medical Center in Asia
Wang MW, Wu MH, Hsieh DY, Lin LJ, Le PH, Chen WJ, Lin MT. J Parenter Enteral Nutr. 2007; 31(4):306-310.
This is a study conducted at one hospital in Taiwan evaluating the use of home parenteral nutrition (HPN) for adult patients emphasizing disease patterns and indications. Thirty one patients received parenteral nutrition (PN) for at least 30 days during the retrospective review which took place from 1989-2002. The average length of PN was 19 months (range 1-115 months). The most common reason for PN was obstruction followed by short bowel syndrome, fistula and one case of malabsorption due to tropical sprue. There were 51 episodes of catheter related blood stream infection which correlated to 2.78 episodes per 1000 catheter days. Twenty four patients died during the study; 6 (25%) were related to catheter infection. The median survival was 4 months in patients with incurable malignant diseases and 53 months in patients with non malignant disease.
Telehealth Videoconferencing: Improving Home Parenteral Nutrition Patient Care to Rural Areas on Ontario, Canada. Saqui O, Chang A, McGonigle S, Purdy B, Fairholm L, Baun M, Yeung M, Rossos P, Allard J. J Parenter Enteral ...
Sun, 26 Aug 2007 23:50:32 +0000
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Glucose management in the Home Nutrition Support Patient
Therese Austin MS, RD, CNSD, Nutrition Support Clinician, Cleveland Clinic Foundation
Hyperglycemia is a common metabolic complication of the home nutrition support (HNS) patient on either tubefeedings or parenteral nutrition (PN). Adequate glucose control in this patient population is important to prevent complications for the same reasons cited for all patients. For example, the short term consequences of poor blood glucose control are infectious complications and delayed wound healing (1). Long term consequences of poor blood glucose control include nephropathy, retinopathy, neuropathy and vascular disease (2).
[...] Read more!
Wed, 22 Feb 2006 00:49:20 +0000
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