Analysis of nutrition support for a severe case of ulcerative colitis
ZHANG Jing-jing
BIAN Xiao-jie
Abstract：A 30-year-old male patient was admitted to the hospital with the pathogeny of two weeks' diarrhea and one week's purulent blood and mucoid stool, and diagnosed with ulcerative colitis (acute, early onset, severe, colon activity). The 7th day after hospitalization, the patient excreted blood stool for 5 times with a total volumn of 800 mL, accompanied with fatigue, palpitation, cold sweat, blood pressure 86/50 mm Hg, a pulse of 100 beats per minute. The patient was treated with the therapy of fasting and suspended enteral nutrition (EN). Clinical pharmacists assisted with physicians to make the scheme of parenteral nutrition (PN) support. Two days after the sustained usage of PN, and 3 hours after jugular vein catheterization, the patient developed a sudden severe pain of right chest when he received the infusion of venous fluids. We could not exclude the possibility of transcatheter embolization, pulmonary embolism associated with the disease or myocardial infarction, so clinical pharmacists suspended the usage of fat emulsion. After 13 days of PN support, condition of the patient signiifcantly improved, then the patient was transferred to oral intake.
Keywords：Clinical pharmacistUlcerative colitisNutrition supportThrombusFat emulsion
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 157-159 )