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Article Navigation >  Journal of Pharmaceutical Practice and Service  > 2018  >  36(3): 282-284

ZENG Yulan, SONG Hongtao. A case study of nutritional support for a patient with malignant obstructive jaundice during the perioperative period[J]. Journal of Pharmaceutical Practice and Service, 2018, 36(3): 282-284. doi: 10.3969/j.issn.1006-0111.2018.03.020
Citation: ZENG Yulan, SONG Hongtao. A case study of nutritional support for a patient with malignant obstructive jaundice during the perioperative period[J]. Journal of Pharmaceutical Practice and Service, 2018, 36(3): 282-284. doi: 10.3969/j.issn.1006-0111.2018.03.020
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A case study of nutritional support for a patient with malignant obstructive jaundice during the perioperative period

doi: 10.3969/j.issn.1006-0111.2018.03.020

  • Department of Pharmacy, Fuzhou General Hospital, Fuzhou 350025, China

  • Received Date: 2017-07-29
  • Rev Recd Date: 2017-09-26
  • 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 perioperative 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 nutrition support was changed to enteral nutritional support. The patient's nutritional status and jaundice were improved. The patient recovered well from surgery with no complication. Conclusion Clinical pharmacists work closely with physicians in developing and adjusting nutritional support program to improve the nutritional status and pharmaceutical care for patients.
  • [1] 李强,于世平,苏秀琴,等. 支架置入治疗不同梗阻部位恶性梗阻性黄疸的疗效评价[J]. 中国医学创新,2015,12(18):130-132.
    [2] 阿如汉. 梗阻性胆汁淤积的诊断与治疗[J]. 现代消化及介入诊疗,2015,20(5):553-557.
    [3] 中华医学会. 成人围术期营养支持指南[J]. 中华外科杂志,2016,54(9):641-657.
    [4] 刘利东. 含脂肪乳全成分胃肠外营养在肝功能不全中应用进展[J]. 实用医学杂志,2004,24(1):72-73.
    [5] 陈洁.脂肪乳的特点及临床应用[J]. 中国医学创新,2012,9(4):158-161.
    [6] Piper SN, Röhm KD, Boldt J,et al.Hepatocellular integrity in patients requiring parenteral nutrition:comparison of structured MCT/LCT vs. a standard MCT/LCT emulsion and a LCT emulsion[J]. Eur J Anaesthesiol,2008,25(7):557-565.
    [7] 中华医学会肠外肠内营养学分会. 临床诊疗指南2008版:肠外肠内营养学分册[M]. 北京:人民卫生出版社,2009:91-96.
    [8] 吴国豪. 实用临床营养学[M]. 上海:复旦大学出版社,2006:277-287.
    [9] Alwayn IP, Gura K, Nosé V,et al. Omega-3 fatty acid supplementation prevents hepatic steatosis in a murine model of nonalcoholic fatty liver disease[J]. Pediatr Res, 2005,57(3):445.
    [10] Palova S,Charvat J,Kvapil M. Comparison of soybean oil-and olive oil-based lipid emulsions on hepatobiliary function and serum triacylglycerols level during realimentation[J]. J Int Med Res, 2008,36(3):587-593.
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A case study of nutritional support for a patient with malignant obstructive jaundice during the perioperative period

doi: 10.3969/j.issn.1006-0111.2018.03.020
  • Department of Pharmacy, Fuzhou General Hospital, Fuzhou 350025, China
  • Received Date: 2017-07-29
  • Rev Recd Date: 2017-09-26

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 perioperative 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 nutrition support was changed to enteral nutritional support. The patient's nutritional status and jaundice were improved. The patient recovered well from surgery with no complication. Conclusion Clinical pharmacists work closely with physicians in developing and adjusting nutritional support program to improve the nutritional status and pharmaceutical care for patients.

ZENG Yulan, SONG Hongtao. A case study of nutritional support for a patient with malignant obstructive jaundice during the perioperative period[J]. Journal of Pharmaceutical Practice and Service, 2018, 36(3): 282-284. doi: 10.3969/j.issn.1006-0111.2018.03.020
Citation: ZENG Yulan, SONG Hongtao. A case study of nutritional support for a patient with malignant obstructive jaundice during the perioperative period[J]. Journal of Pharmaceutical Practice and Service, 2018, 36(3): 282-284. doi: 10.3969/j.issn.1006-0111.2018.03.020
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