Extravasation of Peripherally Administered Parenteral Nutrition  

Oleh:

Belloni, Benedetta ; Andres, Christian

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 10 (Mar. 2011), page 364:e20.
Topik: Huntington's Disease

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 60-year-old woman with advanced Huntington's disease and a recent episode of aspiration pneumonia presented with erythema, edema, and blistering of the right forearm. An 18-gauge peripheral intravenous catheter had been partially displaced from the same site 10 hours earlier, resulting in infusion of an unknown quantity of parenteral-nutrition solution (80 g of dextrose per liter, 22 g of amino acids per liter, 200 kcal of lipids per liter, and 750 mOsm per liter) into the interstitial space. Peripherally delivered parenteral nutrition can act as a vesicant and cause blistering. Its potential to do so varies with the infusion site, rate of administration, solution composition, and total osmolarity. In this patient, treatment with sterile dressings, systemic glucocorticoids, and systemic antibiotic agents resulted in complete healing in 2 months.

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