ABSTRACT
The physician is responsible for prescribing the nutritional formula for the patient. It will vary with each patient, depending on individual requirements and results of monitoring by laboratory tests, that is, electrolyte levels and serum protein levels. Hospitals that have a large number of patients receiving parenteral nutrition require that these orders reach the pharmacy department by a certain hour in the day. The nurse should ensure that a carbon copy of the Order Sheet reaches the pharmacy department and that the original remains in the patient's chart. There are various systems of preparation and hospitals must assess their own situation and choose the method that best meets their facilities and needs. Hospitals with limited facilities and a small demand may use the kit method. A medication injection site is inserted into a closed port of the plastic bag. Each additive is drawn up in a separate syringe and added one at a time through the cleaned medication injection site.
