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Contact

220 Longwood Avenue Harvard Medical School Goldenson Building 243 Boston, MA 02115 Phone (lab): 617.432.1326

Links

Here are some helpful links we use. Literature/Citation: https://icite.od.nih.gov/analysis https://scholar.google.com/ https://www.ncbi.nlm.nih.gov/pubmed Management of Mouse Colony: https://www.softmouse.net/ Screening Facility HMS: http://iccb.med.harvard.edu/rnai-screening Gene Ontology: https:/...

Caregiver Teaching

Discharge Criteria for new HPN referral Patient selection: 2 weeks before discharge HPN Team consulted by primary service. Primary GI, inpatient nutrition attending and inpatient dietitian agrees to referral. Defined indication for HPN (e.g., SBS, severe malabsorption, fistula, GI obstruction, IBD...

Central Venous Access & Complications

Parenteral Amino Acids Solutions Fluids & Electrolyte Disorders (including renal complications) Micronutrient Disorders Iron Deficiency Anemia (including travenous iron) Pharmacy Reconciliation (including stability issues) Growth & Development Bone Health Body Composition Specific Digestive...

Central Lines

Central line occlusion Review of the Line History (These questions are relevant in determining appropriate treatment of the occlusion.) Complete the line history before activating the algorithm. What happened immediately before the line occluded? · Was IV fluid infusing? · Was the line used for...

Routine Ambulatory Monitoring & Health Maintenance

Assessment of hydration - Heart rate (bpm) o Newborn – 3 months: 85 - 205 o 3 months – 2 years: 100 - 190 o 2 years to 10 years: 60 - 140 o >10 years: 60 - 100 - Weight o Infant scale age o Standing scale age >2 year o Helpful to document which scale was used for consistency - Physical exam findings...

Body Composition

Malnutrition Waterlow Criteria (wt/ht % std = degree of wasting) 80 % - 89 % Mild 70 % - 79 % Moderate Severe 90 - 110 Normal Variation 110 - 120 Overweight > 120 Obese Malnutrition Symptoms: Irritability Apathy Decreased social responsiveness Anxiety Attention deficits Malnutrition physical signs...

Amino Acids

Protein Needs Weight (kg) Protein (g/kg/day) 0.0-5.0 2.0-3.5 5.0-20.0 1.0-2.5 20.0-40.0 1.0-2.0 >40.0 0.8-2.0 (max 150 g/day) Not all amino acid solutions are the same Amino Acids: Aminosyn 10% Trophamine 10% Prosol 20% Clinisol 15% Travasol 1 0% FreAmine 10% Primene 10% Aminosyn II 15% B Bruan 15%...