Sanchez Acera Elián, Arenas Villafranca Jose Javier, Abilés Jimena, Faus Felipe Vicente
Residente Farmacia hospitalaria. Servicio de Farmacia. Hospital Marqués de Valdecilla, Santander..
Residente Farmacia hospitalaria. Área de Farmacia y Nutrición. Hospital Costa del Sol, Marbella (Málaga).
Nutr Hosp. 2014 Mar 1;29(3):695-7. doi: 10.3305/nh.2014.29.3.7156.
Parenteral nutrition (PN) is essential in the treatment of many hospitalized patients. However, administration of PN is not without potential complications and patients are exposed to related possible adverse reactions such as hypersensitivity. For that reason and because of the complexity of this treatment, PNs are considered by the ISMP (Institute for Safe Medication Practice) a high risk medication. Following is introduced the case of an oncologic patient with severe malnutrition, who after receiving PN for several days, developed a hypersensitivity reaction that could have being associated with intravenous mixture administration. Our aim is to analize the difficulties related with pre-surgery nutrition and to clarify the main possible causes of the reaction.
肠外营养（PN）在许多住院患者的治疗中至关重要。然而，PN的应用并非没有潜在并发症，患者会面临诸如过敏等相关的可能不良反应。出于这个原因，并且由于这种治疗的复杂性，ISMP（安全用药实践研究所）将PN视为高风险药物。以下介绍了一名患有严重营养不良的肿瘤患者的病例，该患者在接受PN治疗几天后出现了可能与静脉混合液输注相关的过敏反应。我们的目的是分析与术前营养相关的困难，并阐明该反应的主要可能原因。
