James R M, Roberts J M, Harvey P W, Bellis J D, Cooper R I
Med Inform (Lond). 1978 Jun;3(2):77-86. doi: 10.3109/14639237809017750.
An operational computerized system to aid clinicians in the design of total parenteral nutrition regimes is reported. Two computer programs are described. The 'Requirements' program uses patient data and the results of blood and fluid excretion analyses to calculate the nutritional requirements for a period of 24 hours. Accepted formulae are used in these calculations. The 'Bottle Selection' program fits an intravenous bottle regime to the patient requirements from a standard set of commercially available intravenous feeding solutions. The system has been well accepted by the clinical staff who are free to accept, modify or reject a regime. Financial savings have been noted by the pharmacy who can plan for a faster turnover of a smaller range of solutions. The programs have been used routinely on a programmable calculator and have been written in CORAL for a Ferranti Argus 700E computer.
本文报道了一种用于辅助临床医生设计全胃肠外营养方案的实用计算机化系统。文中描述了两个计算机程序。“需求”程序利用患者数据以及血液和液体排泄分析结果来计算24小时内的营养需求。这些计算采用公认的公式。“瓶型选择”程序根据一组标准的市售静脉营养输液,为患者需求匹配静脉输液方案。该系统已被临床工作人员广泛接受,他们可以自由接受、修改或拒绝某一方案。药房注意到了成本节约,因为他们可以计划更快速地周转范围更小的溶液。这些程序已在可编程计算器上常规使用,并已用CORAL语言为费伦蒂阿格斯700E计算机编写。