Preparation of Total Parenteral Nutrition Solutions and Assessment of Nutritional Status in the Home Parenteral Nutrition

Abstract

Home parenteral nutrition (HPN) allows patients with gastrointestinal dysfunction to lead a nearly normal life after discharge from hospital. We prepared the total parenteral nutrition (TPN) solution bags for 7 HPN patients in our department, and instruct them in the use of the devices, while stressing their importance for home care. The TPN solution bags were usually prepared weekly under aseptic conditions according to standard or special prescriptions which meet the condition of disease in each patient. We also measured once every month the blood levels of trace elements (Zn, Cu, Fe), vitamins (A, E, B₁, B₆) and essential fatty acids in the patients. Assessment of nutritional status in each patient was made periodically according to the results of the blood level monitoring and, if necessary, the prescription was changed. No serious complications were encountered in practice of HPN in our hospital.