JACN Did you know that you can get alerts when a new issue is online?
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Porcelli, P. J.
Right arrow Articles by Block, S. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Porcelli, P. J.
Right arrow Articles by Block, S. M.

Journal of the American College of Nutrition, Vol 16, Issue 3 283-287, Copyright © 1997 by American College of Nutrition

JOURNAL ARTICLE

Increased parenteral nutrition calcium and phosphorus for very-low-birth-weight infants using computer software assisted ordering

P. J. Porcelli and S. M. Block
Department of Pediatrics, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina 27157, USA.

BACKGROUND: Providing adequate calcium (Ca) and phosphorus (P) in an appropriate ratio to preterm very-low-birth-weight (VLBW: BW < 1500 g) infants receiving parenteral nutrition (PN) is difficult because Ca:P solubility in PN is relatively low. Computer software assisted ordering (CSAO) was developed to integrate PN Ca:P solubility with clinical data to improve parenteral Ca and P administration. Our hypothesis was that CSAO would improve the system of designing PN by increasing the amount of Ca and P ordered without Ca:P precipitation. METHODS: Control PN orders were designed using proprietary preprinted PN forms which incorporated predefined PN Ca and P concentrations to prevent precipitation, independent of patient Ca or P administration. CSAO assessed total daily fluids and correlated parenteral volume with Ca:P solubility during order entry to recommend daily Ca and P doses. PN orders which provided > or = 80% of total nutrition volume as PN were analyzed. RESULTS: PN was designed with more Ca (60.3 +/- 16.7 mg/k/day, mean +/- 1 SD) and P (32.8 +/- 13.9 mg/k/day) using CSAO compared to control group Ca (50.0 +/- 17.1 mg/k/day) and P (25.1 +/- 9.1 mg/k/day), both Ca and P, p < 0.001, CSAO provided > or = 80% of the minimum recommended daily Ca in 82% of PN orders compared to 51% of the control orders, p < 0.001. No PN mixture demonstrated Ca:P precipitation. CONCLUSION: The system of designing PN was improved using computer software assisted ordering indicated by increased PN Ca and P content without Ca:P precipitation.


This article has been cited by other articles:


Home page
 Nutr Clin PractHome page
N. Stettler, T. A. Sentongo, M. Carroll, G. J. Schears, and M. R. Mascarenhas
Impact of Customized Parenteral Nutrition in a Pediatric Hospital
Nutr Clin Pract, December 1, 2001; 16(6): 345 - 348.
[Abstract] [PDF]

Home page
 J. Am. Coll. Nutr.Home page
T. Canada, J. Albrecht, P. J. Porcelli, and S. M. Black
Parenteral Calcium Gluconate Supplementation: Efficacious or Potentially Disastrous?
J. Am. Coll. Nutr., August 1, 1998; 17(4): 401 - 403.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1997 by the American College of Nutrition.