Fossari

We don`t use heparinization for our central lines, even PICC. We use UAC for laboratories. We never use UAC for more than 7 days. UVC line changed for PICC If We have any problem with feeding the patients less than 24 Weeks for gestational age.

My infinite gratitude for taking the time to answer me. One more question, do you administer the saline solution and the TPN in Y? Thanks again I am very sorry to take so long to answer You at this time. We avoid use saline solution for dilutional use with TPN, We agree that could be a lot of Na (mEq) dependent of the weight of the patient. My best regards, Thank You.

Nice to "talk" to You Emilio, I had worked in more than four institutions (NICU) over the past time, and the best result for ours premies was to have TPN at day first, with a total fluid volume calculated for 80 ml/kg/d , with a dextrose infusion for 4,2 - 5,5 mg/kg/min for 24 hours. We adjusted the volume and variations with Saline Solution, if necessary any reduction of total hidric volume. We also look for history about asphyxia and low APGAR scores at 5 minutes, at these cases We know We will have to start nutrition with more caution. We use a very closed monitorization of the diurese and If the respiratory or nephrologic systems are not ok We take the TPN off, We are really afraid of hyperKalemia. Thank You.

Yes, i bellieve you are right, I will look at it and send You a message, Okay. Thank You for the chance trying to help, I saw the way You guys are doing with the drugs I see that way too, It could be not so difficult for us to our pharmacopedia. Great work.

I use the neofax app too. We could put here one by one the medications and all the book data, I don`t believe this could be wrong, What do You think ?? Thank You.

Ok, I am interested too. drfossari@gmail.com Thank You .

I believe You really need to know about health law for surgical room, what are the resolutions and what about dimensions and position for all instruments, in Brazil I know where to find out, where are You working ?

Thank You Very much .