To provide a source of calories,protein,electrolytes,and essential fatty acids in adults requiring parenteral nutrition when oral or enteral nutrition is not possible,insufficient,or contraindicated. May be used to prevent essential fatty acid deficiency or treat negative nitrogen balance
Adult: Individualize. Dose based on patient’s clinical condition,body wt,nutritional/fluid requirements,and additional energy given orally/enterally. Administer by IV infusion via a central vein only. Usual dose: 19?38mL/kg/day; max: 40mL/kg/day. Max infusion rate: 2.6mL/kg/hr. Usual infusion duration: 12?24 hours; may continue treatment based on patient’s clinical condition. If serum triglycerides (>400mg/dL): interrupt infusion and monitor serum triglycerides; restart at a lower rate once triglycerides are <400mg/dL; increase in smaller increments and check levels before each adjustment. Children: <2yrs: not recommended.
Egg,soybean,peanut,corn or corn product allergy. Severe hyperlipidemia or severe disorders of lipid metabolism characterized by hypertriglyceridemia (serum triglyceride >1000mg/dL).
Nausea,pyrexia,hypertension,vomiting,decreased hemoglobin and total protein,hypokalemia,increased gamma glutamyltransferase; hyperglycemia,hyperosmolar syndrome,refeeding syndrome,hepatobiliary disorders,hyperammonemia,PNALD,hypertriglyceridemia,aluminum toxicity
.png&w=384&q=75)