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俭·®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¿© ó¹æÇϼŠ¾ß 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俭·®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俭·®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¿©ÇÏ½Ã¸é 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 Çϸ鼭 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£ : ȯÀÚ¸í : »ý³â¿ùÀÏ : S/A : º´½Ç : ÀÔ¿øÀÏÀÚ : Áø·á°ú : ÁÖÄ¡±³¼ö/ÁÖÄ¡ÀÇ : Áø´Ü¸í : ¿µ¾ç°ü¸®ÀÌ·Â : ÀÔ¿øµ¿±â : HD : POD : ¼ö¼úÁ¤º¸: ÀÇ·ÚÀÏÀÚ : ÀÇ·ÚÀÎ N-Zone : UBW kcal/kg kcal RBP ¼öºÐ¿ä±¸·® ¿µ¾ç°ü·Ã ¹®Á¦Á¡ Ca/P/Mg º´¿ø½Ä ¼·Ãë»óÅ / PIBW %) Çʿ俭·®(Total Caloric Need : TCN) (AF)x = x / Alb / (IF) = 1784-11*( ]]> Wt kg( ½Åü°èÃø Chol/TG ³²ÀÚ : 66.5 + 13.7 x Kg + 1.9 x yr = ³ªÀÌ)+5*(]]> % ÃѼ·Ãë¿­·® Åõ¿©°æ·Î / üÁß)+244*(]]> kg INS / )+239* (+ W. F. : 20%) )+804*( º¸Á¤¿­·® Kg + 5 x 1.2 1.3 )= kcal/d 1.2 1.3 kg cm - 6.8 x kcal/day 0.2 0.3 ( + T.F. : 20 ~ 30 %) kcal/d 1.1 1.2 1.35 1.5 1.4 1.6 1.8 1.95 x °è¼ö¹ý ±âÁØÃ¼Áß / ABW yr = (BEE) °Ë»ç°á°ú Hb/Hct ¾à¹°Á¤º¸ Á¤¸Æ¿µ¾ç 1 0 kg cm kg ÃѼ·Ãë´Ü¹éÁú·® TRF x (BEE) 1 0 Ȱµ¿Á¤µµ °æ±¸¿µ¾ç IBW kcal/d (AF)+ kcal/day(Ventilator care½Ã) 1 0 UBW cm kg kg Ht Wt % kg kcal/day(Ventilator care½Ã) yr = yr = ³ªÀÌ)+5*(]]> (IF) = ¿µ¾ç»óÅ ÆÇÁ¤ (BEE) cm - 6.8 x )+239* 1784-11*( Çʿ俭·®(Total Caloric Need : TCN) kcal/day (AF)x ±âÃÊ´ë»ç·®(Basal Energy Expenditure : BEE) x ( + T.F. : 20 ~ 30 %) (+ W. F. : 20%) = )+804*( x º¸Á¤¿­·® x kcal/kg Kg + 5 x üÁß)+244*(]]> 66.5 + 13.7 x 655 + 9.6 x Kg + 1.9 x cm - 4.7 x (BEE) ( °è¼ö¹ý (AF) + (BEE) )= 1.2 1.3 1.1 1.2 1.35 1.5 1.4 1.6 1.8 1.95 1.2 1.3 0.2 0.3 1 0 1 0 1 0 1 2 3 4 x kcal/day = (intake) - ( (24HrUUN) * 1.2 + 2) = g °³¿ù ´ã´ç¾à»ç ¼öÇàÀÏÀÚ È¸½ÅÀÚ ¿µ¾ç±³À°³»¿ë »ó¿ë±¸¼±Åà ¼öÇàÀÏÀÚ 1 2 3 4 0.2 0.3 yr = ¸ð´ÏÅ͸µ g kcal/d Åõ¿©°æ·Î ¿µ¾ç°ü·Ã ¹®Á¦Á¡ Ȱµ¿Á¤µµ EN PN EDU EN_PURS EDU_PURS