t-

I

I

II

KortNn LlrcK

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

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)

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

I

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

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-