The application of expert systems in parenteral nutrition

Total Parenteral Nutrition (TPN) is a medical technique used to provide a patient's nutritional requirements via intravenous feeding. Critically ill patients must have adequate nutrition but must also have a stable physiology compensated for or treated by drugs. Several factors such as the complex nature of the TPN solution, the cost of the ingredients and the possible interaction of nutrient and drugs has led to the development of small expert system to assist the hospital medical staff in formulating the TPN constituents and assist the pharmacy staff in producing the final solution. This text will describe a small knowledge-based diagnostic system which when combined with conventional programming techniques has led to tangible benefits within a hospital Intensive Care Unit and Pharmacy.