IdeaWazaWiki - User contributions [en]

Archive:List of hospitals in Georgia, The United States

2008-06-15T22:34:30Z

63.215.29.135:

'''List of [[hospital]]s in [[Georgia (U.S. state)]]''', sorted by hospital name.

{{listdev}}

*[[Anchor Hospital]] - [[Atlanta, Georgia]]
*[[Archbold Hospital]] - [[Thomasville, Georgia]]
*[[Athens Regional Medical Center]] - [[Athens, Georgia]]
*[[Atlanta Medical Center]] - [[Atlanta, Georgia]]
*[[Banks-Jackson-Commerce Medical Center]] - [[Commerce, Georgia]]
*[[Brooks County Hospital]]- [[Quitman, Georgia]]
*[[Calhoun Memorial Hospital]] - [[Arlington, Georgia]]
*[[Candler County Hospital]] - [[Metter, Georgia]]
*[[Candler Hospital]] - [[Savannah, Georgia]]
*[[Cartersville Medical Center]] - [[Cartersville, Georgia]]
*[http://www.centralgarehab.com Central Georgia Rehabilitation Hospital] - [[Macon, Georgia]]
*[[Central State Hospital (Georgia)|Central State Hospital]] - [[Milledgeville, Georgia]] ([http://www.centralstatehospital.org Central State Hospital Website])
*[[Children's Healthcare of Atlanta]] - [[Decatur, Georgia]]
*[[Cobb Hospital]]
*[[Cobb Memorial Hospital]] - [[Royston, Georgia]]
*[[Coffee Regional Medical Center]] - [[Douglas, Georgia]]
*[[Colquitt Regional Medical Center]] - [[Moultrie, Georgia]]
*[[Columbus Regional Hospital|Columbus Regional Hospital/The Medical Center]] - [[Columbus, GA]]
*[[Crawford Long Hospital]] - [[Atlanta, Georgia]]
*[[Crisp Regional Hospital]] - [[Cordele, Georgia]]
*[[DeKalb Medical Center]] - [[Decatur, Georgia]]
*[[Doctors Hospital]] - [[Augusta, Georgia]] Doctors Hospital Website:[http://www.doctors-hospital.net]
*[[Doctor's Hospital of Columbus]] - [[Columbus, Georgia]]
*[[Dodge County Hospital]] - [[Eastman, Georgia]]
*[[Donalsonville Hospital]]- [[Donalsonville, Georgia]]
*[[Dorminy Medical Center]] - [[Fitzgerald, Georgia]]
*[[WellStar Douglas Hospital|Douglas Hospital]]
*[[Dwight D. Eisenhower Army Medical Center]] - [[Fort Gordon, Georgia]]
*[[Early Memorial Hospital]] - [[Blakely, Georgia]]
*[[East Georgia Regional Medical Center]] - [[Statesboro, Georgia]]
* Emanuel Medical Center, Swainsboro, Georgia

*[[Emory-Adventist Hospital]] - [[Smyrna, Georgia]]
*[[Emory Cartersville Medical Center]] - [[Cartersville, Georgia]]
*[[Emory Crawford Long Hospital]] - [[Atlanta, Georgia]]
*[[Emory Eastside Medical Center]] - [[Snellville, Georgia]]
*[[Emory Johns Creek Hospital]] - [[Johns Creek, Georgia]]
*[[Emory University Hospital]] - [[Atlanta, Georgia]]
*[[Fairview Park Hospital]] - [[Dublin, Georgia]]
*[[Floyd Medical Center]] - [[Rome, Georgia]]
*[[Focus Healthcare]] - [[Saint Simon's Island, Georgia]]
*[[Hart County Hospital]] - [[Hartwell, Georgia]]
*[[Henry Medical Center]] - [[Stockbridge, Georgia]]
*[[Grady General Hospital]]-[[Cairo, Georgia]]
*[[Grady Memorial Hospital]] - [[Atlanta, Georgia]]
*[[Gwinnett Medical Center - Duluth]] - [[Duluth, Georgia]]
*[[Gwinnett Medical Center]] - [[Lawrenceville, Georgia]]
*[[Hughston Sports Medicine Hospital]] - [[Columbus, Georgia]]
*[[Hutcheson Medical Center]] - [[Ft. Oglethorpe, Georgia]]
*[[Houston HealthCare Complex]] - [[Warner Robins, Georgia]]
*[[Jasper Memorial Hospital]] - [[Monticello, Georgia]]
*[[WellStar Kennestone Hospital|Kennestone Hospital]] - [[Marietta, Georgia]]
* Meadows Regional Medical Center, Vidalia, Georgia
*[[Medical Center of Central Georgia]] (MCCG) - [[Macon, Georgia]]
*[[Memorial Hospital and Manor]] - [[Bainbridge, Georgia]]
*[[Memorial Medical Center, Savannah|Memorial Medical Center]] - [[Savannah, Georgia]]
*[[Medical College of Georgia Medical Center]] - [[Augusta, Georgia]]
*[[Miller County Hospital]] - [[Colquitt, Georgia]]
*[[Mitchell County Hospital]]- [[Camilla, Georgia]]
*[[MCG Children's Hospital]] - [[Augusta, Georgia]]
*[[Newnan Hospital]] - [[Newnan, Georgia]]
*[[Northeast Georgia Medical Center]] - [[Gainesville, Georgia]]
*[[Northside Hospital]] - [[Atlanta, Georgia]]
*[[North Fulton Regional Hospital]] - [[Roswell, Georgia]]
*[[Oconee Regional Medical Center]] - [[Milledgeville, Georgia]]
*[[Palmyra Medical Centers]] - [[Albany, Georgia]]

*[[Paulding Hospital]]-[[Dallas, Georgia]]
*[[Peach County Hospital]] - [[Fort Valley, Georgia]]
*[[Phoebe Putney Memorial Hospital]] - [[Albany, Georgia]]
*[[Phoebe Worth Medical Center]] - [[Sylvester, Georgia]]
*[[Piedmont Hospital]] - [[Atlanta, Georgia]]
*[[Putnam General Hospital]] - [[Eatonton, Georgia]]
*[[Redmond Regional Medical Center]] - [[Rome, Georgia]]
*[[Select Specialty Hospital]] - [[Augusta, Georgia]]
*[[St. Francis Hospital]] - [[Columbus, Georgia]]
*[[St. Joseph's/ Candler Hospital]] - [[Savannah, Georgia]]
*[[Saint Joseph's Hospital (Atlanta)]] - [[Atlanta, Georgia]]
*[[St. Joseph Hospital]] - [[Augusta, Georgia]]
*[[St. Mary's Hospital]] - [[Athens, Georgia]]
*[[Samaritan Hospital]] - [[Dountown, Georgia]]
*[[Shepherd Center]] - [[Atlanta, Georgia]]
*[[South Georgia Medical Center]] - [[Valdosta, Georgia]]
*[[Southern Regional Medical Center]] - [[Riverdale, Georgia]]
*[[Smith Northview Hospital]] - [[Valdosta, Georgia]]
*[[Sumter Regional Medical Center]] - [[Americus, Georgia]]
*[[Sylvan Grove Hospital]] - [[Jackson, Georgia]]
*[[Southeast Georgia Regional Medical Center]] - [[Brunswick, Georgia]]
*[[Southwest Georgia Regional Medical Center]] - [[Cuthbert, Georgia]]
*[[Southwest Hospital]] - [[Atlanta, Georgia]]
*[[Spalding Regional Hospital]] - [[Griffin, Georgia]]
*[[South Fulton Medical Center]] - [[East Point, Georgia]]
*[[Sumter Regional Hospital]] - [[Americus, Georgia]]
*[[Tanner Medical Center]] - [[Carrollton, Georgia]]
*[[Tanner Medical Center Villa Rica]] - [[Villa Rica, Georgia]]
*[[Tift Regional Medical Center]] - [[Tifton, Georgia]]
*[[Upson Regional Medical Center]] - [[Thomaston, Georgia]]
*[[Union General Hospital]] - [[Blairsville, Georgia]]
*[[University Hospital (Augusta)|University Hospital]] - [[Augusta, Georgia]]
*[[West Central Georgia Regional Hospital]] - [[Columbus, Georgia]]
*[[West Georgia Medical Center]] - [[LaGrange, Georgia]]
*[[Walton Medical Center]] - [[Monroe, Georgia]]
*[[Wills Memorial Hospital]] - [[Washington, Georgia]]
*[[Windy Hill Hospital]] - [[Marietta, Georgia]]

{{Hospitals in the United States}}

[[Category:Lists of hospitals in the United States|Georgia]]
[[Category:Hospitals in Georgia (U.S. state)]]

Archive:Total parenteral nutrition

2007-08-17T17:56:26Z

63.215.122.7: /* General Usage */

[[Image:Tpn_3bag.jpg|thumb|Home TPN formula]]

'''Total parenteral nutrition''' (TPN), is the practice of feeding a person [[intravenous]]ly, bypassing the usual process of [[eating]] and [[digestion]]. The person receives nutritional formulas containing [[salt]]s, [[glucose]], [[amino acid]]s, [[lipid]]s and added [[vitamin]]s.

==General Usage==

TPN is normally used following surgery, when feeding by mouth or using the [[gut]] is not possible, when a person's digestive system cannot absorb nutrients due to [[chronic (medicine)|chronic disease]], or, alternatively, if a person's nutrient requirement cannot be met by [[enteral feeding]] (tube feeding) and supplementation. It has been used for [[Coma|comatose]] patients, although enteral feeding is usually preferable, and less prone to complications. Short-term TPN may be used if a person's digestive system has shut down (for instance by [[Peritonitis]]), and they are at a low enough weight to cause concerns about nutrition during an extended hospital stay. Long-term TPN is occasionally used to treat people suffering the extended consequences of an accident or surgery. Most controversially, TPN has extended the life of a small number of children born with nonexistent or severely birth-deformed guts. The oldest were eight years old in [[2003]].

The preferred method of delivering TPN is with a medical [[infusion pump]]. A [[sterilization (microbiology)|sterile]] bag of nutrient solution, between 500 mL and 4 L is provided. The pump infuses a small amount (0.1 to 10 mL/hr) continuously in order to keep the vein open. Feeding schedules vary, but one common regimen ramps up the nutrition over a few hours, levels off the rate for a few hours, and then ramps it down over a few more hours, in order to simulate a normal set of meal times.

The nutrient solution consists of [[water]], [[glucose]], [[salt]]s, [[amino acid]]s, [[vitamin]]s and (more controversially) sometimes emulsified [[fat]]s. Long term TPN patients sometimes suffer from lack of trace nutrients or [[electrolyte]] imbalances. Because increased [[blood sugar]] commonly occurs with TPN, [[insulin]] may also be added to the infusion. Occasionally, other drugs are added as well.

Chronic TPN is performed through a central intravenous catheter, usually in the subclavian or jugular vein. Another common practice is to use a PIC line, which originates in the arm, and exends to one of the central veins, such as the subclavian. In infants, sometimes the [[umbilical artery]] is used.

Battery-powered ambulatory infusion pumps can be used with chronic TPN patients. Usually the pump and a small (100 ml) bag of nutrient (to keep the vein open) are carried in a small bag around the waist or on the shoulder. Outpatient TPN practices are still being refined.

Aside from their dependence on a pump, chronic TPN patients live quite normal lives.

==Complications==

The most common complication of TPN use is bacterial infection, usually due to the increased infection risk from having an indwelling [[central venous catheter]]. [[Liver]] [[Liver failure|failure]] may sometimes occur; a recent study at Children's Hospital Boston on the cause suggests it is due to a large difference in omega-6 to omega-3 ratio. When treated with a different fatty acid infusion (which is not approved for use in the U.S.) two patients were able to recover from their condition.<ref>[http://pediatrics.aappublications.org/cgi/content/full/118/1/e197?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=parenteral+nutrition&searchid=1&FIRSTINDEX=0&volume=118&issue=1&resourcetype=HWCIT| Gura KM, Duggan CP, Collier SB, et al. Reversal of parenteral nutrition-associated liver disease in two infants with short bowel syndrome using parenteral fish oil: implications for future management. ''Pediatrics'' Vol. 118 No. 1 July 2006 p197-201]</ref>

Two related common complications of TPN are [[venous thrombosis]] and [[priapism]]. Fat infusion during TPN is assumed to contribute to both.<ref>[http://jpen.aspenjournals.org/cgi/content/abstract/16/2/171| X Hebuterne, AM Frere, J Bayle, and P Rampal Priapism in a patient treated with total parenteral nutrition ''Journal of Parenteral and Enteral Nutrition'' Vol. 16 No. 2 1992 p171-174]</ref>

==See also==
* [[Intravenous drip]]
* [[Parenteral and Enteral Nutrition]]

==References==
<div class="references-small" style="-moz-column-count:2; column-count:2;">
<references /></div>

== External links ==
*[http://www.nutritioncare.org American Society for Parenteral and Enteral Nutrition]
*[http://www.heinrick.com/ryan/tpn.cfm TPN/PPN Calculator] by Ryan Heinrick
*[http://www.childrenshospital.org/newsroom/Site1339/mainpageS1339P1sublevel222.html "Why does prolonged TPN cause liver damage in infants?"], Children's Hospital Boston
*[http://blogs.nutrishare.com TPN Blogs] on [http://www.Nutrishare.com Nutrishare] (a Home TPN provider)
*[http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a601166.html TPN Drug Information] from MedlinePlus NIH Database
*[http://www.worldhealthlibrary.com/uncategorized/tpn-site-care/ TPN Care] from the World Health Library
[[Category:nutrition]]
[[Category:intensive care medicine]]

[[de:Parenterale Ernährung]]
[[nl:Parenterale voeding]]
[[ja:高カロリー輸液]]
[[pt:Nutrição parenteral]]