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Full-Text Articles in Medicine and Health Sciences
Total Nutrient Admixtures (3-In-1): Pros Vs Cons For Adults, Jane Gervasio
Total Nutrient Admixtures (3-In-1): Pros Vs Cons For Adults, Jane Gervasio
Jane M. Gervasio
Total nutrient admixture (TNA) is a complete parenteral nutrition (PN) formulation composed of all macronutrients, including dextrose, amino acids, and intravenous fat emulsions (IVFE), in one bag. The TNA may be safely administered to the patient, with all components aseptically compounded and minimal administration manipulation required, lending itself to decreases in risks of catheter contamination and patient infections. The TNA is compatible and stable at recommended concentrations, and since the IVFE is in the TNA, it is infused at slower rates, allowing for better fat clearance. The TNA offers convenience of administration and a potential cost savings to the healthcare …
A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations: Translation Into Practice, Phil Ayers, Stephen Adams, Joseph Boullata, Jane Gervasio, Beverly Holcomb, Michael D. Kraft, Neil Marshall, Antoinette Neal, Gordon Sacks, David S. Seres, Patricia Worthington, Peggi Guenter
A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations: Translation Into Practice, Phil Ayers, Stephen Adams, Joseph Boullata, Jane Gervasio, Beverly Holcomb, Michael D. Kraft, Neil Marshall, Antoinette Neal, Gordon Sacks, David S. Seres, Patricia Worthington, Peggi Guenter
Jane M. Gervasio
Parenteral nutrition (PN) serves as an important therapeutic modality that is used in adults, children, and infants for a variety of indications. The appropriate use of this complex therapy aims to maximize clinical benefit while minimizing the potential risk for adverse events. Despite being classified and acknowledged as a high-alert medication,1 only 58% of organizations have precautions in place to prevent errors and patient harm associated with PN.2 Complications can occur as a result of the therapy and as the result of the PN process. The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Parenteral Nutrition Safety Consensus Recommendations are …
Standardized Competencies For Parenteral Nutrition Prescribing: The American Society For Parenteral And Enteral Nutrition Model, Peggi Guenter, Joseph I. Boullata, Phil Ayers, Jane Gervasio, Ainsley Malone, Erica Raymond, Beverly Holcombe, Michael Kraft, Gordon Sacks, David Seres
Standardized Competencies For Parenteral Nutrition Prescribing: The American Society For Parenteral And Enteral Nutrition Model, Peggi Guenter, Joseph I. Boullata, Phil Ayers, Jane Gervasio, Ainsley Malone, Erica Raymond, Beverly Holcombe, Michael Kraft, Gordon Sacks, David Seres
Jane M. Gervasio
Parenteral nutrition (PN) provision is complex, as it is a high-alert medication and prone to a variety of potential errors. With changes in clinical practice models and recent federal rulings, the number of PN prescribers may be increasing. Safe prescribing of this therapy requires that competency for prescribers from all disciplines be demonstrated using a standardized process. A standardized model for PN prescribing competency is proposed based on a competency framework, the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)–published interdisciplinary core competencies, safe practice recommendations, and clinical guidelines. This framework will guide institutions and agencies in developing and maintaining …
Comparison Of Arterial Plasma Amino Acid Concentrations In Rats Fed Ad Lib Oral Chow Or Parenteral Nutrition Via Intravenous Or Gastric Infusion, Jane M. Gervasio, Emily B. Hak, Michael C. Storm, M. E. Croft, Lawrence J. Hak
Comparison Of Arterial Plasma Amino Acid Concentrations In Rats Fed Ad Lib Oral Chow Or Parenteral Nutrition Via Intravenous Or Gastric Infusion, Jane M. Gervasio, Emily B. Hak, Michael C. Storm, M. E. Croft, Lawrence J. Hak
Jane M. Gervasio
Abstract from the 22nd Clinical Congress of the American Society for Parenteral and Enteral Nutrition, Orlando, FL, January 18-21, 1998.
Nutritional Support In The Acute Care Patient Post-Ventricular Assist Device Placement, Abby Re, Jane M. Gervasio, Robert D. Warhurst, Gary P. Zaloga
Nutritional Support In The Acute Care Patient Post-Ventricular Assist Device Placement, Abby Re, Jane M. Gervasio, Robert D. Warhurst, Gary P. Zaloga
Jane M. Gervasio
Abstract from American College of Clinical Pharmacy Annual Meeting, San Francisco, CA, October 23-26, 2005.
A Comparison Of Efficacy Of Heparin 0.5 Unit/Ml Versus Heparin 1 Unit/Ml In Parenteral Nutrition Administrated In The Neonatal Population, Jane M. Gervasio, Meredith Mckinney, Iftekar Kalsekar, Elaina Szeszycki
A Comparison Of Efficacy Of Heparin 0.5 Unit/Ml Versus Heparin 1 Unit/Ml In Parenteral Nutrition Administrated In The Neonatal Population, Jane M. Gervasio, Meredith Mckinney, Iftekar Kalsekar, Elaina Szeszycki
Jane M. Gervasio
Abstract from Clinical Nutrition Week, Las Vegas, NV, February 8-10, 2010.
Nutrition In The Critically Ill Patient, Jane M. Gervasio
Nutrition In The Critically Ill Patient, Jane M. Gervasio
Jane M. Gervasio
Critical illness presents with the classic response to stress, including hypermetabolism and increased catabolism, resulting in a negative energy and nitrogen balance. These harmful events initiate the immunological response, starting with the systemic inflammatory response syndrome, which, if not resolved, may lead to multiple organ dysfunction syndrome (MODS). Furthermore, patients who do not develop early MODS manifest a compensation anti-inflammatory response syndrome, which suppresses immunity and predisposes the patient to sepsis, thereby increasing the risk of late MODS and ultimately death. The use of specialized nutrition support, including enteral nutrition (EN) and parenteral nutrition (PN), has been initiated in an …
2005 American Society For Parenteral And Enteral Nutrition (A.S.P.E.N.) Standards And Guidelines Survey, David Seres, Charlene Compher, Douglas Seidner, Laura Byham-Gray, Jane M. Gervasio, Stephen Mcclave
2005 American Society For Parenteral And Enteral Nutrition (A.S.P.E.N.) Standards And Guidelines Survey, David Seres, Charlene Compher, Douglas Seidner, Laura Byham-Gray, Jane M. Gervasio, Stephen Mcclave
Jane M. Gervasio
An online survey about the use and format of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Standards and Guidelines documents was conducted. The survey was sent to A.S.P.E.N. members, and an acceptable number of responses were received (470, or 9% of those surveyed). Most respondents indicated an overall satisfaction with the standards and guidelines and suggested format changes, many of which will be incorporated into future guidelines and standards. The results of this survey are presented here for general interest. Changes in the process with which A.S.P.E.N. produces standards and guidelines are discussed.
Compounding Vs Standardized Commercial Parenteral Nutrition Product: Pros And Cons, Jane M. Gervasio
Compounding Vs Standardized Commercial Parenteral Nutrition Product: Pros And Cons, Jane M. Gervasio
Jane M. Gervasio
Standardized commercial parenteral nutrition (PN) formulations have advantages and disadvantages as compared with PN formulations compounded using an automated compounding device. These advantages and disadvantages are discussed along with the supporting available research.
A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations, Phil Ayers, Stephen Adams, Joseph Boullata, Jane M. Gervasio, Beverly Holcombe, Michael D. Kraft, Neil Marshall, Antoinette Neal, Gordon Sacks, David S. Seres, Patricia Worthington
A.S.P.E.N. Parenteral Nutrition Safety Consensus Recommendations, Phil Ayers, Stephen Adams, Joseph Boullata, Jane M. Gervasio, Beverly Holcombe, Michael D. Kraft, Neil Marshall, Antoinette Neal, Gordon Sacks, David S. Seres, Patricia Worthington
Jane M. Gervasio
Parenteral nutrition (PN) serves as an important therapeutic modality that is used in adults, children, and infants for a variety of indications. The appropriate use of this complex therapy aims to maximize clinical benefit while minimizing the potential risks for adverse events. Complications can occur as a result of the therapy and as the result of the PN process. These consensus recommendations are based on practices that are generally accepted to minimize errors with PN therapy, categorized in the areas of PN prescribing, order review and verification, compounding, and administration. These recommendations should be used in conjunction with other A.S.P.E.N. …
A Systematic Approach To Parenteral Nutrition Order Review And Verification, Phil Ayers, Jane Gervasio, Beverly Holcombe
A Systematic Approach To Parenteral Nutrition Order Review And Verification, Phil Ayers, Jane Gervasio, Beverly Holcombe
Jane M. Gervasio
Because PN administration errors occur at the point of patient contact, mistakes in this phase of the medication delivery process are less likely than other types of PN errors to be intercepted, and more likely to cause harm. Data pertaining to the incidence of errors related to PN administration are scarce. A recent survey revealed that 44% of organizations do not track PN-related medication errors and do not know where in the process errors may be happening. The literature does provide some insight into the scope of the problem, however. In one prospective observational study of errors associated with parenteral …
Parenteral Nutrition Order Review And Verification Process, Jane Gervasio
Parenteral Nutrition Order Review And Verification Process, Jane Gervasio
Jane M. Gervasio
No abstract provided.
Safe Use Of Parenteral Nutrition, Jane Gervasio
Safe Use Of Parenteral Nutrition, Jane Gervasio
Jane M. Gervasio
At the end of this session, participants will be able to: 1. Review the ASPEN Parenteral Nutrition Safety Task Force guidelines and practice implications focusing on the pharmacist's role with special attention to ordering, verifying, labeling and compounding parenteral nutrition. 2. Discuss steps in handling parenteral nutrition product shortages. 3. Address the necessity of competency-based educational curricula in schools of pharmacy and pharmacy technician programs and continued parenteral nutrition education in pharmacy residencies and healthcare organizations
Compounding Vs. Standardized Commercial Parenteral Nutrition Products: Pros And Cons, Jane Gervasio, Eric Kastango
Compounding Vs. Standardized Commercial Parenteral Nutrition Products: Pros And Cons, Jane Gervasio, Eric Kastango
Jane M. Gervasio
• Describe USP Chapter as it relates specifically to desired parenteral nutrition sterile compounding practices • List desired strategies to manage PN component shortages through high-risk level compounding • Discuss the pros and cons of standardized commercial parenteral nutrition (PN) versus compounded PN • Assess where the use of standardized commercial PN may be instituted including patient populations and situations/scenarios
Premix Vs. Compounding, Jane Gervasio
Emerging Trends In Parenteral Nutrition: An Evidence-Based Approach, Jane Gervasio
Emerging Trends In Parenteral Nutrition: An Evidence-Based Approach, Jane Gervasio
Jane M. Gervasio
No abstract provided.
Emerging Trends In Parenteral Nutrition: An Evidence-Based Approach, Jane Gervasio
Emerging Trends In Parenteral Nutrition: An Evidence-Based Approach, Jane Gervasio
Jane M. Gervasio
No abstract provided.
Emerging Trends In Parenteral Nutrition: An Evidence-Based Approach, Jane Gervasio
Emerging Trends In Parenteral Nutrition: An Evidence-Based Approach, Jane Gervasio
Jane M. Gervasio
No abstract provided.
A Comparison Of The Efficacy Of 0.5 Units/Ml Versus 1 Unit/Ml Of Heparin In Neonatal Parenteral Nutrition, E. Szeszycki, A. Kastner, L. Mobley, Jane Gervasio
A Comparison Of The Efficacy Of 0.5 Units/Ml Versus 1 Unit/Ml Of Heparin In Neonatal Parenteral Nutrition, E. Szeszycki, A. Kastner, L. Mobley, Jane Gervasio
Jane M. Gervasio
Abstract of distinction from ASPEN Nutrition Week, New Orleans, LA, February 1-4, 2009.
Standardized Tpn In The Icu: Safe Or Sorry, Jane Gervasio
Standardized Tpn In The Icu: Safe Or Sorry, Jane Gervasio
Jane M. Gervasio
No abstract provided.
Nutrition Support, Jane Gervasio
Premix Solutions: Does One Size Fit All, Jane Gervasio
Premix Solutions: Does One Size Fit All, Jane Gervasio
Jane M. Gervasio
No abstract provided.
Safe Delivery Of Parenteral Nutrition In The Icu, Jane Gervasio
Safe Delivery Of Parenteral Nutrition In The Icu, Jane Gervasio
Jane M. Gervasio
No abstract provided.
Nutrition In Critical Care, Jane Gervasio
Tpn Without Lipids In The Icu, Jane Gervasio
Nutrition Support Review, Jane Gervasio
Current Controversies In Critical Care Pharmacotherapy: Incorporating Evidence Into Practice. How Can We Start Nutrition, Jane Gervasio
Current Controversies In Critical Care Pharmacotherapy: Incorporating Evidence Into Practice. How Can We Start Nutrition, Jane Gervasio
Jane M. Gervasio
No abstract provided.