5/7/2023 0 Comments Lipid emulsion![]() ![]() If triglyceride values are ↑ initiate lipid infusion at a lower dose, advance in smaller increments, and check triglyceride levels before each adjustment. Lab Test Considerations: Obtain serum triglyceride levels to establish baseline value prior to administering lipids.Monitor fluid status in patients with pulmonary edema or HF.Avoid overfeeding and slowly increase nutrient intake to prevent syndrome. Thiamine deficiency and fluid retention may develop). Carefully monitor severely undernourished patients for signs and symptoms of refeeding syndrome (intracellular shift of potassium, phosphorous, and magnesium as anabolism develops.Usually reversible when lipid infusion is discontinued but may occur when lipid dose exceeded. Monitor for signs and symptoms of fat overload syndrome (sudden deterioration in patient condition, fever, anemia, leukopenia, thrombocytopenia, coagulation disorders, hyperlipidemia, liver fatty infiltration or hepatomegaly, deteriorating liver function, coma) during therapy.Check parenteral access device frequently. Monitor for signs and symptoms of infections (fever, chills, leukocytosis, hyperglycemia) during therapy.Stop infusion immediately and treat symptomatically if symptoms occur. Monitor for signs and symptoms of hypersensitivity or allergic reactions (tachypnea, dyspnea, hypoxia, bronchospasm, tachycardia, hypotension, cyanosis, vomiting, nausea, headache, sweating, dizziness, altered mentation, flushing, rash, urticaria, erythema, pyrexia, chills) during infusion.Route/DosageĮmulsion for intravenous infusion: 20% lipid emulsion (contains 0.2 g lipids/mL) Nursing implications Nursing assessment Interactions Drug-Drug interactionMay ↓ anticoagulant effect of warfarin (due to soybean oil Vitmain K 1 content). hypersensitivity reactions including anaphylaxis (life-threatening).Parenteral Nutrition-Associated Liver Disease (life-threatening).Adverse Reactions/Side Effects Gastrointestinal Use Cautiously in: Hepatic impairment Severe fluid/electrolyteolic/metab disorders (correct prior to use) ↑ triglyceride levels (initiate at lower dose, advance in small increments) Geriatric: Elderly patients may be sensitive to effects Obstetric: Use during pregnancy only if clearly needed Lactation: Use cautiously if breastfeeding Pediatric: Pre-term/low birth weight infants have poor lipid clearance (deaths have occurred) does not contain sufficient amounts of essential fatty acids for routine use in children. ![]()
0 Comments
Leave a Reply. |