2015
DOI: 10.1177/0884533615621550
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Parenteral Nutrition Electrolyte and Mineral Product Shortage Considerations

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Cited by 11 publications
(23 citation statements)
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“…The American Society for Parenteral and Enteral Nutrition (ASPEN) issued recommendations regarding the management of parenteral nutrition product shortages during the peak of the 2010–2012 shortage [17]. The ASPEN recommended to use specific pediatric or neonatal products only for these patient groups [18]. If these are on shortage, however, parenteral nutrition should be saved for the patients in the NICU who need it most, such as very preterm or ELBW infants, or sick neonates with enteral obstruction, necrotizing enterocolitis, or after surgery.…”
Section: Discussionmentioning
confidence: 99%
“…The American Society for Parenteral and Enteral Nutrition (ASPEN) issued recommendations regarding the management of parenteral nutrition product shortages during the peak of the 2010–2012 shortage [17]. The ASPEN recommended to use specific pediatric or neonatal products only for these patient groups [18]. If these are on shortage, however, parenteral nutrition should be saved for the patients in the NICU who need it most, such as very preterm or ELBW infants, or sick neonates with enteral obstruction, necrotizing enterocolitis, or after surgery.…”
Section: Discussionmentioning
confidence: 99%
“…ASPEN provides strategies for managing shortages of individual PN components, including amino acids, lipid injectable emulsion, electrolytes and minerals, trace elements, vitamins, and L‐cysteine. Each shortage management consideration provides recommendations specific to the individual PN component as well as general strategies for managing shortages of PN components . The 2014 ASPEN Parenteral Nutrition Safety Consensus Recommendations include guidance for every step of the PN use process to improve the safety of PN therapy during shortages of PN components.…”
Section: Strategies and Resources For Managing Drug Shortagesmentioning
confidence: 99%
“…Calcium gluconate is preferred over calcium chloride in PN. The original calcium phosphate solubility studies were completed with calcium gluconate and should not be extrapolated to calcium chloride 20 . The amount of elemental calcium provided by each product is significantly different, further demonstrating that these products are not equivalent substitutes.…”
Section: Solution Basicsmentioning
confidence: 99%
“…If necessary, many vitamins are available in their individual forms, except biotin, pantothenic acid, riboflavin, and vitamins A, D, and E. During times of multivitamin shortages, the American Society for Parenteral and Enteral Nutrition recommends that IV vitamin preparations be given 3 times weekly. Chewable vitamin supplements twice daily can be used for patients with IF on days when multivitamins are not infused 27 . The admixture of multivitamins to PN is unstable, requiring that patients receiving HPN add vitamins to their PN just prior to infusion.…”
Section: Solution Basicsmentioning
confidence: 99%