JPEN. Journal of parenteral and enteral nutrition
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JPEN J Parenter Enteral Nutr · Mar 2012
Comparative StudyGastrointestinal hormone concentrations associated with gastric feeding in critically ill patients.
Altered concentrations of ghrelin, motilin, and cholecystokinin (CCK) may contribute to gastric hypomotility. The aims of this study were to evaluate the concentrations of these hormones in patients tolerant and intolerant to gastric nutrition, assess the influence of prokinetic therapy on these hormone concentrations, determine the associations between these mediators and gastric emptying, and evaluate whether inflammation influences their concentrations. ⋯ Patients intolerant to gastric nutrition generate less acyl ghrelin, which may contribute to gastric hypomotility. Intolerance is not associated with altered concentrations of other hormones. Hormone concentrations are not influenced by prokinetic therapy.
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JPEN J Parenter Enteral Nutr · Mar 2012
Parenteral nutrition training for the pharmacy team: focus on pharmacy technicians.
Pharmacy technicians are integral to the success of parenteral compounding programs in pharmacies around the country. Their positions may vary depending on practice site, but technicians are critical to the pharmacy team, and it is imperative that they be appropriately trained to take on their roles and responsibilities. ⋯ All compounding personnel involved in the process of delivering PN, including technicians, must be trained on the proper techniques, applicable technology, and risk of errors. This article outlines the landscape of training as it specifically pertains to pharmacy technicians and shares proceedings from key pharmacy meetings in the past 5 years that advocate for national standards.