Haematological and biochemical monitoring of patient having HPN and considered clinically stable
| 3–4 monthly | 6 monthly | Annually | |
| Blood count | x | ||
| Prothrombin time (INR) | x | ||
| Renal function* (Na, K, Cl, HCO3, urea, creatinine) | x | ||
| CRP | x | ||
| Liver function (Alk P, GGT, ALT, AST, Bil, T prot, albumin) | x | ||
| Bone chemistry (Mg, Ca, P) | x | ||
| Glucose/HbA1c | x | ||
| Cholesterol and triglyceride | x | ||
| Vitamins (A, D, E, B12, folate)† | x | ||
| Ferritin/Fe/TIBC | x | ||
| Trace elements (Zn, Cu, Se, Mn) | x | ||
| Urinary Na* | x | ||
| 24 hours urine oxalate (J-C patients only) | x | ||
| Thyroid function tests, TSH | x |
These are suggested time intervals for stable patients. If the results are abnormal or the clinical situation changes they may be done more frequently.
Chromium and vitamin C/other B vitamins are not routinely measured in the UK.
*HCO3, chloride and urinary Na if stable may be done annually.
†Vitamins A and E may be measured annually unless results are abnormal.
ALT, alanine aminotransferase; AST, aspartate aminotransferase; CRP, C reactive protein; GGT, gamma-glutamyltransferase; HPN, home parenteral nutrition; TIBC, total iron binding capacity; TSH, thyroid stimulating hormone.