Lactic Acidosis Secondary to Thiamine Deficiency | Parenteral Nutrition

Purpose: To identify a patient receiving parenteral nutrition who develops lactic acidosis because of thiamine deficiency.

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Evaluation

Are you evaluating a patient receiving parenteral nutrition?

Yes

Number of days on parenteral nutrition

days

Has the patient received adequate thiamine replacement?

Yes

Arterial blood pH

Serum lactate

Upper limit of the normal reference range for serum lactate

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings for lactic acidosis associated with thiamine deficiency

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Liver Disease Secondary to Parenteral Nutrition
- Risk Factors for Gallbladder Disease Secondary to Parenteral Nutrition
Other Testing
- Fat Overload Syndrome
Severity, Prognosis, Stage
- Algorithm of Kaufman et al for Predicting Parenteral Nutrition-Associated Liver Disease (PNALD) in a Pediatric Patient with Short Bowel Syndrome of Infancy
Complications
- Risk Factors for Liver Disease Secondary to Parenteral Nutrition

Specialty

Nutrition
Gastroenterology
Critical Care

Objective

complications
disease progression

ICD-10

E51.9 - Thiamine deficiency, unspecified
E87.2 - Acidosis

Info

Purpose: To identify a patient receiving parenteral nutrition who develops lactic acidosis because of thiamine deficiency.

Specialty: Nutrition, Gastroenterology, Critical Care

Objective: complications, disease progression

ICD-10: E51.9, E87.2,

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