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indications:
Short-term parenteral nutrition via peripheral veins to supply protein and cover the basic demand for carbohydrates, electrolytes and fluids with short-term fasting. Supplemental parenteral nutrition.
Composition:
1000 ml contains: 1.68 g of L-isoleucine, 2.94 g of L-leucine, 3.23 g of L-lysine hydrochloride (= 2.5 g of L-lysine), 0.7 g of L-methionine, 1.47 g of L-lysine g of L-phenylalanine, 1.68 g of L-threonine, 0.7 g of L-tryptophan, 2.24 g of L-valine, 3.01 g of arginine, 1.89 g of L-histidine, 2.45 g of Glycine, 4 , 34 g L-alanine, 2.45 g L-proline, 0.32 g L-aspartic acid, 0.36 g L-asparagine x H20 (= 0.32 g L-asparagine), 0.95 g Acetylcysteine (= 0.71 g L-cysteine), 3.15 g L-glutamic acid, 0.81 g L-ornithine hydrochloride (= 0.63 g). g L-ornithine), 1.12 g L-serine, 0.5 g L-tyrosine; 50.0 g glucose; electrolytes: 0.2 g of sodium chloride, 5.44 g of sodium acetate, 0.53 g of Magnesium chloride, 2.24 g of potassium chloride, 1.4 g of sodium dihydrogen phosphate x 2 H2O, 17.6 mg of zinc acetate x 2 H2O, 0.24 g of sodium hydroxide. Electrolyte concentrations: sodium - 59.0 mmol / l, potassium - 30.0 mmol / l, magnesium - 2.6 mmol / l, zinc - 0.08 mmol / l, chlorides - 61.0 mmol / l, acetates - 40.0 mmol / l, dihydrogen phosphates - 9.0 mmol / l.
Action:
A preparation containing a solution of amino acids, basic electrolytes and glucose. 1000 ml provides 5.5 g of nitrogen, 340 kcal (1425 kJ). The osmolarity is 765 mosmol / l.
Contraindications:
Amino acid metabolism disorders, acute renal failure, advanced hepatic failure, circulatory insufficiency, shock, acidosis, conduction states, hyperkalemia, diabetes, hyperglycaemia. Cautiously administered with lactic acidosis. The solution should not be given to children under 2 years of age, because the content of nutrients does not meet the pediatric requirements.
Precautions:
Pregnancy and lactation:
Side effects:
Too rapid infusion may cause symptoms of intolerance: nausea, chills, vomiting, amino acid disturbance. If hyperglycemia is reduced, hyperglycaemia and glucosuria may occur (reduce the dose of the administered solution or give insulin).
Dosage:
By intravenous infusion, especially peripheral veins: according to fluid demand, nitrogen balance, ionogram, usually up to 40 ml / kg / day with a rate of up to 40 drops / minute (120 ml / h). Administration of the solution as the only preparation for parenteral nutrition should not last longer than 5 days. With a longer period of fasting, significant malnutrition or mixed energy deficiency and protein, it is necessary to conduct a full parenteral nutrition instead of peripheral veins. With supplemental nutrition, the time of administration is unlimited.