NST ȯÀÚ°ü¸®
Y
Y
11
/root/main/nstinfo/nutrpninfo/nutritionlab
/root/main/nstinfo/nutrpninfo/ins
Y
Y
EN
-
>
-PNT3´Â 1160kcal/1200ml/pÀÇ ¿·®À» ³»´Â Á¦ÇüÀÔ´Ï´Ù.
ÇöÀç »óÅ¿¡¼ ȯÀÚÀÇ Çʿ俷®Àº ¾à 1800kcal/d ÀÌ´Ï,
ȯÀÚ»óÅ ¹× oral intake·® µî¿¡ µû¶ó Åõ¿©·®À» ÀûÀýÈ÷ Á¶ÀýÇØ
ÁֽʽÿÀ.
-oral intake ºÎÁ·À¸·Î PNT ´Ü±â°£ Åõ¿©½Ã ±Þ¿©Àû¿ë¿¡ ¹®Á¦µÉ ¼ö
ÀÖÀ¸´Ï °í·ÁÇØ Áֽðí,5ÀÏ ¹Ì¸¸ Åõ¿© ¿¹»ó½Ã¿¡´Â ºñ±Þ¿© ó¹æÇϼÅ
¾ß ÇÕ´Ï´Ù.
(À̶§´Â single AA fluid(AM-T10 µî:600kcal/bt)·Î changeÇÏ´Â °Í
ÀÌ ÁÁ°Ú½À´Ï´Ù.)
-°í³óµµÀÇ ´ç(250g/pack)ÀÌ Áö¼ÓÀûÀ¸·Î °ø±ÞµÇ¾î ÇöÀ纸´Ù Ç÷´ç
»ó½Â ÇÒ ¼ö ÀÖÀ¸´Ï ¾ÈÁ¤ÈµÉ ¶§±îÁö´Â E/T monitoringÇØ Áֽðí,
ÇÊ¿ä½Ã¿¡´Â RI mixÇÏ¿© Åõ¿©ÇϽʽÿÀ.
<<ÀϹÝÀûÀÎ PNT1 󹿽Ã-MO/MH µî>>
-PNT1Àº 560kcal/1000ml/PÀÇ ¿·®À» ³»´Â Á¦ÇüÀÔ´Ï´Ù.
ÇöÀç»óÅ¿¡¼ ȯÀÚÀÇ Çʿ俷®Àº ¾à 1700kcal/dÀ̹ǷΠȯÀÚÀÇ
oral intake»óÅ¿¡ µû¶ó Åõ¿©·®À» ÀûÀýÈ÷ Á¶ÀýÇØ Áֽðí, ¼öºÐ°ø±Þ
¹× »ïÅõ¾Ð Èñ¼® ÇÊ¿ä½Ã¿¡´Â HS side infusion ÇϽʽÿÀ.
-oral intake ºÎÁ·À¸·Î PNT1¸¸À¸·Î Áö¼Ó Åõ¿©½Ã, ±Þ¿©Àû¿ë¿¡ ¹®Á¦
µÉ ¼ö ÀÖÀ¸´Ï Áõ·®°èȹÀÌ ¾ø´Â °æ¿ì single AA fluid(AM-T10 µî)·Î
changeÇϴ°ÍÀÌ ÁÁ°Ú½À´Ï´Ù.
-7~10ÀÏ ÀÌ»óÀÇ ¿µ¾çÁö¿øÀÌ ÇÊ¿äÇÑ °æ¿ì¿¡´Â PNT1¸¸À¸·Î´Â ¿·®
¹× ´Ü¹é°ø±ÞÀÌ ¸¹ÀÌ ºÎÁ·ÇÒ ¼ö ÀÖÀ¸´Ï PNT2->PNT3·Î Áõ·®Åõ¿©ÇØ
ÁֽʽÿÀ.
<<ÀϹÝÀûÀÎ peripheral PNT1 󹿽Ã>>
-PNT1Àº »ïÅõ¾Ð 1000mOsm/LÀÌ»óÀÇ Áß½ÉÁ¤¸Æ¿ë Á¦ÇüÀÔ´Ï´Ù.
µû¶ó¼ ºÎµæÀÌÇÏ°Ô ¸»ÃÊ·Î Åõ¿©ÇÏ½Ç °æ¿ì¿¡´Â IV site edema, pain,
phlebitis µîÀÇ monitoringÀÌ ÇÊ¿äÇÕ´Ï´Ù.
-ÇöÀç»óÅ¿¡¼ ȯÀÚÀÇ Çʿ俷®Àº ¾à 2000kcal/dÀÌ´Ï È¯ÀÚÀÇ
oral intake »óÅ¿¡ µû¶ó Åõ¿©·®À» ÀûÀýÈ÷ Á¶ÀýÇØ Áֽðí,¼öºÐ°ø±Þ
¹× »ïÅõ¾Ð Èñ¼® ÇÊ¿ä½Ã¿¡´Â HS side infusion ÇϽʽÿÀ.
-oral intake ºÎÁ·À¸·Î PNT1¸¸À¸·Î Áö¼Ó Åõ¿©½Ã, ±Þ¿©Àû¿ë¿¡ ¹®Á¦
µÉ ¼ö ÀÖÀ¸´Ï Áß½ÉÁ¤¸ÆÀ» ÅëÇÑ Áõ·®°èȹÀÌ ¾ø´Â °æ¿ì
single AA fluid(AM-T10 µî)·Î changeÇÏ´Â °ÍÀÌ ÁÁ°Ú½À´Ï´Ù.
-7~10ÀÏ ÀÌ»óÀÇ ¿µ¾çÁö¿øÀÌ ÇÊ¿äÇÑ °æ¿ì¿¡´Â PNT1¸¸À¸·Î´Â ¿·®
¹× ´Ü¹é°ø±ÞÀÌ ¸¹ÀÌ ºÎÁ·ÇÒ ¼ö ÀÖÀ¸´Ï Áß½ÉÁ¤¸ÆÀ» ÅëÇÑ ¿µ¾çÁö¿ø
(PNT2->PNT3·Î Áõ·®)À» °í·ÁÇØ ÁֽʽÿÀ.
]]>
560kcal/1000ml/pack
* PNT2 : 180g glucose+ 2.8%AA -> 840kcal/1100ml/pack
* PNT3 : 250g glucose+ 3.5%AA ->1160kcal/1200ml/pack
* CLN10 : 160g glucose+ 4%AA+ 40g lipid ->1200kcal/1000ml/pack
* CLN15 : 240g glucose+ 4%AA+ 60g lipid ->1800kcal/1500ml/pack
* CLN20 : 320g glucose+ 4%AA+ 80g lipid ->2400kcal/2000ml/pack
* KABP15: 97g glucose+ 2.3%AA+ 51g lipid ->1000kcal/1500ml/pack
* KABP20: 130g glucose+2.3%AA+ 68g lipid ->1400kcal/2000ml/pack
* ƯÈ÷ PNT1Àº °ø±Þ¿·®¿¡ ºñÇØ ÇØ´ç volumeÀÌ Ä¿¼ È¿À²ÀûÀÎ ¿µ¾ç
Áö¿øÀÌ ¾î·Æ°í, À¯Áö Á¦ÇüÀÌ ¾Æ´Ñ titration À§ÇÑ primary form
ÀÌ´Ï º¯°æÅõ¿©¸¦ °í·ÁÇØ ÁֽʽÿÀ. ÃßõµÇ´Â Á¦ÇüÀº ( )ÀÔ´Ï´Ù.
* CLNÀº commercial TPNÀ¸·Î vitamin & trace elements ÇÔÀ¯Çϰí
ÀÖÁö ¾Ê½À´Ï´Ù. Wx. closure¿¡ ÀÌ·¯ÇÑ nutrientsµéÀÌ ¸Å¿ì Áß¿ä
ÇÏ´Ï 1pack´ç V-MV5 1vial & FURV 0.5ml mixÇÏ¿© Åõ¿©ÇϽøé
µµ¿òÀÌ µÉ °ÍÀ¸·Î »ý°¢µË´Ï´Ù.
(FURV´Â Zn, Cu, Cr, Mn µîÀ» ÇÔÀ¯ÇÏ´Â mixture·Î 10ml/vialÀÌ´Ï,
1vial ó¹æÇϽŠÈÄ CLN Åõ¿©½Ã 0.5ml mixÇϰí remainÀº ³ÃÀ庸°ü
ÇÏ¸é¼ 5~7Àϰ£ »ç¿ëÇϽʽÿÀ. ´Ü, ¿À¿°ÀÌ ÀÇ½ÉµÉ °æ¿ì¿¡´Â Æó±â
ÇØ ÁֽʽÿÀ.)
* KABP´Â °í°¡ÀÇ ¸»ÃÊÁ¤¸Æ¿ë TPNÀ¸·Î, 2ÁÖ À̳» Åõ¿©¸¦ ¿øÄ¢À¸·Î
ÇÕ´Ï´Ù. µû¶ó¼ 2ÁÖ ÀÌ»ó Åõ¿© ¿¹»ó½Ã¿¡´Â Áß½ÉÁ¤¸ÆÀÇ È®º¸ °í·Á
ÇØ Áֽðí, ±× ÀÌ»ó ó¹æ½Ã¿¡´Â ±Þ¿© Àû¿ëµÇÁö ¾ÊÀ¸´Ï °í·ÁÇØ ÁÖ½Ê
½Ã¿À.(KABP15/20:\52,800/\60,876)
* PNT1¸¸À¸·Î´Â ¿·® ¹× ´Ü¹é°ø±ÞÀÌ ¸Å¿ì ºÎÁ·ÇÏ´Ï peripheral PN
´Ü±â°£ À¯ÁöÇÏ½Ç °æ¿ì¿¡´Â KABP15/20À¸·Î Åõ¿©ÇÏ´Â °ÍÀÌ Ãßõ
µÇ¸ç, 2ÁÖ À̳» Åõ¿©°¡ ¿øÄ¢(±Þ¿©Àû¿ë)ÀÌ´Ï °í·ÁÇØ ÁֽʽÿÀ.
]]>
( )
* ȯÀÚ ÀûÀÀµµ¿¡ µû¶ó ¸ÅÀÏ 200cc ¾¿ Áõ·®ÇÏ¿© ÁֽʽÿÀ. ( / -> / -> ¡¦ -> / )
* ȯÀÚ ¿µ¾ç»óÅ Æò°¡ À§ÇØ TRF/RBP, 24hr urinary nitrogen, TC/TG °Ë»ç ÇÊ¿äÇÕ´Ï´Ù.
* Ç÷´ç »ó½Â Çϰųª ¼³»ç ¹ß»ý½Ã Á¦Çü º¯°æ ÇÊ¿äÇÕ´Ï´Ù. ÇùÁø ÀçÀÇ·Ú ÇØ ÁֽʽÿÀ
* TF Áõ·®µÊ¿¡ µû¶ó PN Åõ¿©·® °¨·® ÇÊ¿äÇÕ´Ï´Ù.
* PN¿¡ ´ëÇØ¼´Â Ư¼öÁ¶Á¦½Ç·Î ¹®ÀÇÇØ ÁֽʽÿÀ.
]]>
NSTȯÀÚ°ü¸®
µî·Ï¹øÈ£ :
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ÀÇ·ÚÀÎ N-Zone :
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kcal/kg
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RBP
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%
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kg
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0.2
-
0.3
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1.1
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1.2
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2
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3
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1.2
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1.5
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1.4
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1.6
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1.8
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1.95
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0.2
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1
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1
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1
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2
-
3
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4
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5
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6
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7
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8
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1.35
-
1.5
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1.4
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1.6
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1
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2
-
3
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4
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yr =
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1.1
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1.2
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1.35
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1.5
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1.4
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1.6
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1.8
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1.95
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(AF)x
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x
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1
-
0
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2
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3
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EN
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PN
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EDU
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EN_PURS
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EDU_PURS