i r-parenteral and enteral · 2019. 11. 16. · t-i i i i kortnn llrck appendix r-parenteral and...
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Appendix r-Parenteral and Enteral Formulas
PARENTERAL FORMULASlntravenous Fat Emulsion
0it(%) fafty A(id Content (Yo)
Safflower Soybean Linoleir 0leic Palmitic Linolenic StearitEggYolk Glycerin 0smolz':,
Phospholipids (%) Kcals/ml (m0sm -(%)
lntralipid 10%
lntralipid 20%o
Liposyn ll 100/o
Liposyn ll 20%
Liposyn fll 109/o
Liposyn lll 20%
liposyn lll 30%
5
10
10
20
5
10
10
20
30
9
9
4.2
4.2
8.3
8.3
8.3
305
3.5
3.4
3.4
4.1
4.2
4.2.
1.2
1.2
i.21.2
1.2
1.2
1.2
1.1
2
1.1
2.0
1.1
2.0
2.9
50 2650 2665.8 17.765.8 17.754.5 22.454.5 22.454.5 22.4
2.25
7.Zs
7.5
2.5
2.5
2.5
2.5
26
'10
8.8
8.8
10.5
10.5
10.5
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APPENDTX C.3
trystalline Amino Acid lnfusions
^iiss)RrN6i-.9€qjFo *o *o *o.EE .EE .EE EEF€ EE EO E=€S €S ES E3
ss.t*ssv:msr E6rdSsEEEEqi.=9a gE PE fs Ec EEE3 Ee E€ €-s E€ E-g
Amino AcidConcentration
3.5V0 3.5% 5Vo 5% 5.5% 6Vo Amino AcidConcentration
Nitrogen (9i100 mL) 0.55 0.54 0.79 0.77 0.925 0.93 Nitrogen (9/100 mL) 1.071.071.'lAmino Arids (Essential) (mg/100 ml) Amino Acides (Essential) (mg/100 mL)
: lsoleucine
fuineMethionine
Phenylalanine
Threonine
Tryptophan
Valine
252 ,23132s 3502-V' -1^8140 60154 i04182 14056 70
2.90 1J5
462
700
f:5120
209
280
140
350
300
500
.\2.\
86
149
200
100
250
360
470
36r'
200
220
260
80
400
263 , 490 koleucine340 840 Leucine315 ,. 4N lirii:e318 200 Methionine340 290 Phenylalanine230 250 Threonine99 129 Tryptophan
510
664
JM280
310
370
120
560
st4831
475
125
300
360
125
452
620
8i0624
340
380
460'150
680
Amino Acids (NonessentlaD (mg/100 mL) Amino Acids (Nonessential) (mg/]00 m[)
Alanine :
Arginine
Hiltidine'
Proline
Serine
lauflne
ryrosrne
Aminoacetic Acid
, (6lycine)
GlutamicAcid
Aspartic Acid
Cysteine
448 ,348343 ::356105: , 105300 253147 r85
31 95448 175
258
' ,245
640
490:'150
430
2r0
M640
1e7
509
150
361
265
,
135
250
369
150
900
690
210
6t0
300
M900
490
861
220
5i0347
50
M270
576
370
695
713
210
505
371
'189
350
s17
490
110
8s0
260
750
170
M110
1140 320 Alanine570 730 Arginine241 290 Histidinea
'.:210 410 Proline2i0 Serine
, 15 Taurine12 140 : Tyrosine1140 220 AminoaceticAcid
(Glycine)'
300 Glutamic Acid190 AsparticAcid
< 14 (ysteineElectrolytes (mEq/L) Electrolytes (mEq/L)
Sodium : 7 16.3Potassium
Acetate 46 25.2Phosphate (mMiL)
0smolarity(m0sm/l)' 357 308Supplied in (mL) 1000b 1000(
t' 5 SodiumPotassium
22 < 3 Chloride48 56 Acetate
phosphate (mM/L)
575 526 osmolarity (m0sm/L)500' 500 Suppliedin (mL)
1000e
31.33.4
35.9
500 438500d 500(
1000d .l000c
5.4
35
90
5.4
105
5.4
860
500d
1000d
700 586500d 250s
500e
s0,3
612
500(
labeled lndiations
Iabeled lndicatidns
Peripheral ParenteralNutrition
Protein Sparing
Yes Yes Yes YesPeripheral ?arenteral
Nutrition
CentraiTPH
Protein SparingYes
Yes
Yes
Yes
Yes
No
Yes
YesYes Yes . YesYes Yes No
No No YesYes Yes Yes
(continued on the fallowing poqe)
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C-4 AppElrDlxc Parenteral and Enteral Formulas
Crystalline Amino Acid lnfusions (continued)
sEso€- 1-9=9=.=cEcE^ >- >- >^=.E EE .EE .EE"E-= Ea E-s E=
H ?.,=qt su €= !.!g =E € @
- @^E.E EEEE EFE5 EEEE Eg
Amino Acid Concentration
Nitrogen (q/100 mL)
8.570
1.3
8.50/o
1.43
10%
1,55
1070
1.57
10%
1.52
109,:
1 .53
8.50/o Amino Acid ConcentrationNitroqen (g/100 mL)
Amino Acides (Essential) (mg/l00 mL) Amino Acides (Essential) (mq/100 mL)
lsoleurine
Leucine
Lysine
Methlonine
Phenylalanine
Threonine
Tryptophan
Valine
561
850
893
146
253
340
170
a5
406
526
492
491
526
356
152
190
720
940
720
400
440
520't60
800
760
1200
677
180
427
512
180
673
660
1000
1050
172
298
400
200
500
820
1400
820
340
480
420
200
780
5e0
770
620
450
480
340
130
560
koleucine
Leucine
Lysine
Methionine
Phenylalanine
Threonine
Tryptophan
Valine
Amino Arids (Nonessential) (mg/100 mL) Amino Acids (Nonessential) (mq/'I00 mL)
Alanine
Arginine
Histidinei
Proline
Serine
Taurine
Tyrosine
Aminoacetic Acid (6lycine)
GlutamicAcid
Aspartic Acid
Cysteine
1760 60088! I 810177 Z4o356 950
, 500
u4865
255
614
450
1 190
230
475
627
s95
)t)l
1760
Alanine
Arginine
Histidinea
Proline
5erine
taunne
Tyrosine
Aminoacetic Acid (Glycine)
Aspartic Acid
(ysteine
540
1200
480
680
380
25
240
360
500
320
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APPENDIX cI Parental Formulas(continued)
6oxh=== @9qE=- ,EE .!r *- h=E.E EC EE .EE .EEO= =: E: EEts\/,t3 Ze &9 ES
S€=sfr>P:-56== oqEE
=e .=E 'Ee Fe tsagE +g sE -=E .=E'=\4 ,i= 29 E\4 &s
Amino Acid funcentration
Nitrogen (g/100 mL)
fiVo 11.40/0 15Vo1.53 1.8 2.37
Eldfiolytii (mEqiL)10%'L65
1s%
2.3
Amino Acides (Esential) (mq/l00 mL)
koleucine
Leucine
Lysine
Methionine
Phenylalanine
threonine
Tryptophan
Valine
600 690730 910580 730400 530560 s60420 400180 150580 660
749 9901040 15001180 1575749 2581040 M7149 600250 300960 750
Sodium
Potassium
Chloride
Acetate
Phosphate (mMiL)
0smolarig (m0sm/U
Supplied in (mL)
10
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C-6 AppEilDtxc Parenteral and Enteral Formulas
Amino Acid tormulations For Renal Failure
Aminosyn-RF 5.2% Aminess 5.2/o 5.4% NephrAmine BenAmin(Abbott) (Clintec) (McGaw) ((lintec)
Amino Acid Formulation For High Metabolic Stress and in Hepati(FailurelHepatic Encephalopathy
STRESS
TORMUTATION
HEPATICT0RMULATI0|l
Amino Acid(onrentration
Nitrogen(q/r|00 mt)
5.2% 5.LVo 6.5V0
Amino Acides (Essential) (mg/100 mL)
q'E-