A case study of nutritional support for a patient with malignant obstructive jaun-dice during the perioperative period
10.3969/j.issn.1006-0111.2018.03.020
- VernacularTitle:1例恶性梗阻性黄疸患者围术期营养支持的案例分析
- Author:
Yulan ZENG
1
;
Hongtao SONG
Author Information
1. 福州总医院药学科
- Keywords:
nutritional support;
perioperative period;
jaundice;
pharmaceutical care
- From:
Journal of Pharmaceutical Practice
2018;36(3):282-284
- CountryChina
- Language:Chinese
-
Abstract:
Objective To demonstrate the role of clinical pharmacists in nutritional support for a patient with malignant obstructive jaundice and to provide a reference for the clinical application of nutritional supplements in patients during the perio-perative period.Methods Clinical pharmacists evaluated the nutritional status of an obstructive jaundice patient with nutrition risk screening tool and developed nutrition support programs perioperatively.The daily dose of 30% long-chain fat emulsion 250 ml was replaced with 20% medium/long-chain fat emulsions 250 ml.Oral nutrition support was added.Pharmaceutical care was implemented for the patient during the perioperative period.Results During the perioperative period,parenteral nu-trition support was changed to enteral nutritional support.The patient′s nutritional status and jaundice were improved.The pa-tient recovered well from surgery with no complication.Conclusion Clinical pharmacists work closely with physicians in devel-oping and adjusting nutritional support program to improve the nutritional status and pharmaceutical care for patients.