【評論主題】14.有關靜脈營養之敘述，下列何者最不適當？(A)多數病人剛開始接受靜脈營養的24小時，建議dextrose量限制在250 g (B)在糖尿病或是高血糖病人，剛開始24小時建議dextrose量限制在

【評論內容】

(A)(B)Standard practice for administering parenteral nutrient formulations containing hypertonic dextrose is to begin at a slow infusion rate of less than 250 g during the first 24 hours for most patients and less than 150 g for patients with known diabetes.

ref. Applied Therapeutics 10th p.916

(C)Hyperglycemia can be minimized by limiting the dextrose infusion rate to less than 4 mg/kg/minute.

ref. Applied Therapeutics 10th p.917

(D)The infusion is increased slowly during the next 24 to 48 hours to the goal infusion rate. This initial period allows the clinician to assess the patient's ability to...