BNF for Children (BNFC) 2018-2019

(singke) #1

NUTRIENTS›PARENTERAL NUTRITION


Parenteral nutrition supplements


lINDICATIONS AND DOSE
Supplement in intravenous nutrition
▶BY INTRAVENOUS INFUSION, OR BY SLOW INTRAVENOUS
INJECTION
▶Child:(consult product literature)
DIPEPTIVEN 20G/100ML CONCENTRATE FOR SOLUTION FOR
INFUSION BOTTLES
Amino acid supplement for hypercatabolic or
hypermetabolic states
▶BY INTRAVENOUS INFUSION
▶Child: 300 – 400 mg/kg daily, dose not to exceed 20 %of
total amino acid intake

lCAUTIONS


PEDITRACE SOLUTION FOR INFUSION 10ML VIALSReduced
biliary excretion.reduced biliary excretion in cholestatic

liver disease.reduced biliary excretion in markedly
reduced urinary excretion (careful biochemical monitoring
required).total parenteral nutrition exceeding one month
CAUTIONS, FURTHER INFORMATION
▶Total parenteral nutrition exceeding one monthMeasure serum
manganese concentration and check liver function before
commencing treatment and regularly during treatment—
discontinue if manganese concentration raised or if
cholestasis develops.
lDIRECTIONS FOR ADMINISTRATIONBecause of the complex
requirements relating to parenteral nutrition, full details
relating to administration have been omitted. In all cases
specialist pharmacy advice, product literature, and other
specialist literature should be consulted.Compatibility with
the infusion solution must be ascertained before adding
supplementary preparations.Additives should not be
mixed with fat emulsions unless compatibility is
known.

Proprietary Infusion Fluids for Parenteral Feeding

Preparation

Nitrogen
g/litre

(^1) , 2
Energy
kJ/litre
Electrolytes
K+ Mg^2 + Na+ Acet– Cl– Other components/litre
ClinOleic 20 % (Baxter Healthcare Ltd)
Net price 100 ml: no price available; Net
price 250 ml: no price available; Net
price 500 ml: no price available



  • 8360 –––––purified olive and soya oil 200 g,
    glycerol 22. 5 g, egg
    phosphatides 12 g


Intralipid 10 % (Fresenius Kabi Ltd)
Net price 100 ml = £ 4. 12 ; Net price
500 ml = £ 9. 01


  • 4600 –––––soya oil 100 g, glycerol 22 g,
    purified egg phospholipids 12 g,
    phosphate 15 mmol
    Intralipid 20 % (Fresenius Kabi Ltd)
    Net price 100 ml = £ 6. 21 ; Net price
    250 ml = £ 10. 16 ; Net price 500 ml =
    £ 13. 52

  • 8400 –––––soya oil 200 g, glycerol 22 g,
    purified egg phospholipids 12 g,
    phosphate 15 mmol


Intralipid 30 % (Fresenius Kabi Ltd)
Net price 333 ml: no price available


  • 12600 –––––soya oil 300 g, glycerol 16. 7 g,
    purified egg phospholipids 12 g,
    phosphate 15 mmol
    Lipofundin MCT/LCT 10 % (B.Braun
    Medical Ltd)
    Net price 100 ml: no price available; Net
    price 500 ml = £ 13. 69

  • 4430 –––––soya oil 50 g, medium-chain
    triglycerides 50 g


Lipofundin MCT/LCT 20 % (B.Braun
Medical Ltd)
Net price 100 ml = £ 13. 28 ; Net price
250 ml: no price available; Net price
500 ml = £ 20. 36


  • 8000 –––––soya oil 100 g, medium-chain
    triglycerides 100 g


Primene 10 % (Baxter Healthcare Ltd)
Net price 100 ml: no price available; Net
price 250 ml: no price available

15. 0 ––––– 19. 0

Synthamin 9 (Baxter Healthcare Ltd)
Net price 500 ml: no price available; Net
price 1 litre: no price available

9. 1 – 60. 05. 070 .0 100. 070. 0 acid phosphate 30 mmol

Synthamin 9 EF (electrolyte-free) (Baxter
Healthcare Ltd)
Net price 500 ml: no price available; Net
price 1 litre: no price available

9. 1 –––– 44. 022. 0

Vamin 9 Glucose (Fresenius Kabi Ltd)
Net price 100 ml: no price available; Net
price 500 ml: no price available; Net
price 1 litre: no price available

9. 4 1700 20. 01. 550. 0 – 50. 0 Ca^2 + 2. 5 mmol, anhydrous
glucose 100 g

Vaminolact (Fresenius Kabi Ltd)
Net price 100 ml = £ 3. 70 ; Net price
500 ml = £ 8. 50

9. 3 ––––––

1 1000kcal = 4200 kJ; 1000 kJ = 238. 8 kcal. All entries are Prescription-only medicines.
2 Excludes protein- or amino acid-derived energy

BNFC 2018 – 2019 Nutrition (intravenous) 619


Blood and nutrition

9

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