I have never seen a patient experience allergic signs and symptoms while receiving any form of parenteral nutrition, however I am sure there are several components that could produce this in some people. Can you be more specific about exactly what happened? Has the patient been referred to an allergist for further testing to determine the exact allergy? Lynn
We have seen a few reactions but that was mainly a problem with the added Ranitidine,something rarely done these days. Our main TPN pharmacist could only recall one reaction to the nutritional components,and that person had an intolerance to eggs that was felt to be the crux of the matter since some of the protein additive was egg-based.
I agree the patient is probably allergic or has a tolerence issue with one of the components not the entire thing, with eggs being high on the list as noted earlier. If that component is identified perhaps the PPN could continue.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
We have seen a few reactions but that was mainly a problem with the added Ranitidine,something rarely done these days. Our main TPN pharmacist could only recall one reaction to the nutritional components,and that person had an intolerance to eggs that was felt to be the crux of the matter since some of the protein additive was egg-based.
Ann Marie Parry, RN, CRNI, VA-BC
[email protected]