Compounding IJNIP

IV fluids

functions as a means for fluid replacement, electrolyte balance restoration & supplementary nutrition, & as vehicles for administration of other drug substances & in TPN

100-1000 ml

Large volume parenterals

25-50 ml

Small volume parenterals

Colloid solution

Contains large proteins or similarly sized molecules

Increase intravascular volume

Crystalloid solution

Contain electrolytes

Mainstay IV theraphy

Plain normal saline solution

Replace water and sodium

D5W. (Dextrose 5% in distilled water for injection)

Becomes hypotonic upon infusion, due to the metabolism of glucose

D5NSS (Dextrose 5% in normal saline solution)

Hypertonic

Becomes isotonic upon infusion, due to the metabolism of dextrose

Plain ringers solution

Hypotonic

Used to keep veins open for infusion

Plain lactated ringers solution

Approximate extracellular fluid

Alkalinizing agent

IV admixtures

when one or more sterile products are added to an IV fluid for administration

Total parenteral nutrition

IV administration of calories, nitrogen & other nutrients in sufficient quantities to achieve tissue synthesis & growth through blood vessels

has been designed to serve as a nutritional infusion providing essential amino acids, carbohydrates, and electrolytes for patients incapable of ingesting, digesting, or absorbing food substances given by mout

Parenteral nutrition

Indicated for patient who are unable to ingest food due to carcinoma or patient who refuse to eat

2500 cal/day for adults

Normal caloric requirements

Protein

It is the source of amino acid

Carbohydrates

Provides energy

Lipid

Source of essential fatty acids

Electrolytes

for proper enzymatic & energy conserving or expending reactions within the body

Silicone base bags

Superseded by PVC

Ethylvinyl acetate

Container of tpn

2-6 C

Temp pf tpn storage

Enteral nutrition

Method of providing support via tubes inserted into the stomach or small intestine

Direct iv injection

Small volumes of drugs are injected into the vein over a short period of time

Volume control sets

Unit consists of calibrated plastic fluid chamber

Piggy back administration

method of intravenous administration by which solution Form two containers flow into the patients’ vein through a common Tubing & a common injection site (venipuncture)

20-35% of calories

Total fats percentage

<10% of calories

Saturated fat percentage

45-65% of calories

Carbohydrates percentage

10-35% of calories

Protein percentage