Practical handling of AIO admixtures – Guidelines on Parenteral Nutrition, Chapter 10Praktische Handhabung von AIO-Mischungen – Leitlinie Parenterale Ernährung, Kapitel 10

GMS German Medical Science — an Interdisciplinary Journal

Z. Stanga³  C. Franken¹  S. Mühlebach² 

[1] Central Pharmacy, University of Dusseldorf, Germany;CSO Vifor Pharma Ltd, VillarssurGlâne, Switzerland;Polyclinic for Endocrinology, Diabetology and Clinical Nutrition, Clinic for General Internal Medicine, University of Berne, Switzerland

关键词: quality assurance;    stability;    industrial parenteral nutrition systems;    compounding;    infusion systems;   

Others  :  869116

实施日期：2009-01-14，发布日期：2009-11-18

【 摘 要 】

All-in-one admixtures (AIO-admixtures) provide safe, effective and low-risk PN (parenteral nutrition) for practically all indications and applications. Water, energy (carbohydrates and lipids), amino acids, vitamins and trace elements are infused together with PN either as industrially-manufactured AIO admixtures provided as two- or three-chamber bags (shelf life usually more than 12 months) completed with electrolytes and micronutrients where appropriate or as individually compounded ready-to-use AIO admixtures (compounding, usually prepared by a pharmacy on either a daily or weekly basis and stored at 2–8°C). Physico-chemical and microbial stability of an AIO admixture is essential for the safety and effectiveness of patient-specific PN, and its assurance requires specialist pharmaceutical knowledge. The stability should be documented for an application period of 24 (–48) hours. It is advisable to offer a limited selection of different PN regimes in each hospital. For reasons of drug and medication safety, PN admixtures prepared for individual patients must be correctly labelled and specifications for storage conditions must also be followed during transport. Monitoring is required where applicable. Micronutrients are usually administered separately to AIO admixtures. In case compatibility and stability have been well documented trace elements and/or combination preparations including water-soluble or water-soluble/fat soluble vitamin supplements can be added to PN admixtures under strict aseptic conditions. AIO admixtures are usually not used as vehicles for drugs (incompatibilities).

【 授权许可】

   
© 2009 Mühlebach et al.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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