Original Research Article
Year: 2021 | Month: December | Volume: 8 | Issue: 12 | Pages: 454-462
DOI: https://doi.org/10.52403/ijrr.20211256
Evaluation the Role of Nutrition Support Team for Monitoring the Types, Complication, Nutrients and Drugs Provision in the Parenteral Nutrition
Aisha Alshikhy1, Hanaa Almasallati1, Marwa Abu Saif1, Reima Mansour2, Faiza Nouh2, Nagwa Elmighrabi3, Isam Danna4, Ali Ateia Elmabsout2
1Faculty of Pharmacy, University of Benghazi, Benghazi, Libya.
2Department of Nutrition, Faculty of Public Health, University of Benghazi, Benghazi, Libya.
3School of Health and Society, University of Wollongong, Wollongong, Australia.
4Department of Community and Family Medicine, Faculty of Medicine, University of Benghazi, Benghazi, Libya.
Corresponding Author: Ali Ateia Elmabsout
ABSTRACT
Parenteral nutrition (PN) is a form of administering nutrients, include water, macro and micronutrients and is one of widely used mode of therapy used in patients who are unable to tolerate oral or enteral feeding. Therefore, the success of nutritional therapy depends chiefly on nutrition support teams. The aim of the present work to evaluation the provision of parenteral nutrition in the Benghazi medical center.
A total of 86 patients were involved in the study and numbers of questions were answered from nutrition support team at the hospital. The result revealed that PPN (IV drip) most common used and mixture of dextrose and sodium chloride were highly provision in the hospital. Furthermore the Doctors at the ward were shown have fully responsibility for provided PN but there were neglected role of dietitian and pharmacist. Patients monitoring were not carried out routinely. Most drug delivered by PN found NSAIDs and insulin. Dextrose and sodium chlorides commonly used in the hospital for delivery medication. The present study also demonstrated that, PN did not fulfill the patients requirement and there were no patients monitoring. PN found to be used most frequently in some condition were where in real need such as pulmonary disease, GIT disorder and renal disease. Furthermore, TPN provided for the admitted patients include in emergencies, therapeutic and for unconscious patients. There were reported a number of complication in patient received PN due to lack of monitoring and prolong replacements of PN drainage. PPN (Iv drips) were the most common uses at the hospital and longer duration was proved which might led to patients burden in the hospital. Furthermore, due to the uses of PPN for longer times this could contribute for patients malnutrition. Our data suggested that, comprehensive nutrition support team and provision of intervention programs in order to increased quality and reduced patients burden and also the result of our study needed to be validated in large sample to know the real role of dietitian and pharmacist for ordered of drugs and nutrients and nutrients drug interactions.
Keywords: Nutrients, Provision, TPN, PN, complication, medications.
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