护理专业知识翻译.docxVIP

65.parenteral nutrition65.1 the administration of parenteral nutrition shall be initiated upon the order of a licensed independent practitioner in accordance with the rules and regulations promulgated by the states Board of Nursing, and organizational policies ,procedures, and/or practice guidelines.65.2 the nurse shall be competent in the administration and monitoring of patients receiving parenteral nutrition.65.3 Non-fat-emulsion-containing parenteral nutrition solutions shall be filtered using a 1.2-micron filter.65.4 Parenteral nutrition containing dextrose and amino acids alone or with fat emulsion added as a 3-in-1 formulation shall have a hang time not to exceed 12 hours.65.5 Parenteral nutrition shall be administered using an electronic infusion device with anti-free-flow control.65.6 Parenteral nutrition solutions shall be prepared, labeled, and managed according to pharmacy law and regulations.65.7 the nurse shall not add medications to the parenteral nutrition solution once it is actively infusing.Practice Criteria A. the nurse should collaborate with the patient or caregiver and other members of the health care team on the development and implementation of the nutrition plan of care. The nurse should recommended that the enteral route of feeding be used when feasible ,especially in the critically ill adult or child .B. Parenteral nutrition solutions containing final concentrations exceeding 10% dextrose should be administered through a central vascular access device （CVAD）with the tip located in the central vasculature, preferably the subclavian-right atrium junction for adults.C. Parenteral nutrition solutions with a final concentration of 10% dextrose or lower administered via a short peripheral or midline catheter should be reserved for situations in which a CVAD is not currently feasible and delay of feeding would be detrimental to the patient .The solutions osmolarity should not exceed 600 mOsm. Clinical trials demonstrate that peripher