Medi TPN

Total Peritoneal Nutrition IV Drip Infusion

Indications / Symptoms: For patients who are severely malnourished and cannot obtain proper nutrition via the digestive tract.

Prescription: Administered via IV Infusion, only after BSI Doctors or Nurse Practitioners have examined the patient and have determined effectiveness and dose. This infusion is only given to BSI member patients.

Actions: Medi TPN is a Total Parenteral Nutrition solution containing amino acids, glucose, MCT/LCT fat emulsion, and electrolytes, in a three-chamber bag. It supplies essential fatty acids, amino acids, electrolytes and fluids for patients in states of mild to moderately severe catabolism when oral nutrition is insufficient or contraindicated.

Cautions: Generally only given via IV infusion. Do not give with Vitamin C, other vitamins, or BSI Vita-IV infusions during the same day.

Hypersensitivity to the active substances, to egg, peanut or soya protein, or to any of the excipients are cautioned.

General contraindications to parenteral nutrition include unstable circulatory status with vital threat (states of collapse and shock); acute phases of cardiac infarction and stroke; unstable metabolic condition (e.g. severe postaggression syndrome, coma of unknown origin); inadequate cellular oxygen supply; disturbances of the electrolyte and fluid balance; acute pulmonary edema; decompensated cardiac insufficiency.

Cautions: B Braun Nutriflex IV Infusion. Ready-for-use emulsion for intravenous infusion.

Rp. 2.300.000

Infusion Ingredients

Totals
Amino acid content 40 g
Nitrogen content 5.7 g
Carbohydrate content 80 g
Lipid content 50 g

Glucose solution
Glucose monohydrate 88.00 g
equivalent to glucose 80.00 g
Sodium dihydrogen phosphate
dihydrate 1.170 g
Zinc acetate dihydrate 6.600 mg

Fat emulsion
Soya-bean oil, refined 25.00 g
Medium-chain triglycerides 25.00 g
Electrolytes
Sodium 50 mmol
Potassium 30 mmol
Magnesium 3.0 mmol
Calcium 3.0 mmol
Zinc 0.03 mmol
Chloride 48 mmol
Acetate 40 mmol
Phosphate 7.5 mmol

Amino acids
Isoleucine 2.340 g
Leucine 3.130 g
Lysine hydrochloride 2.840 g
equivalent to lysine 2.273 g
Methionine 1.960 g
Phenylalanine 3.510 g
Threonine 1.820 g
Tryptophan 0.570 g
Valine 2.600 g
Arginine 2.700 g
Histidine hydrochloride monohydrate 1.690 g
equivalent to histidine 1.251 g
Alanine 4.850 g
Aspartic acid 1.500 g
Glutamic acid 3.500 g
Glycine 1.650 g
Proline 3.400 g
Serine 3.000 g
Sodium hydroxide 0.800 g
Sodium chloride 1.081 g
Sodium acetate trihydrate 0.544 g
Potassium acetate 2.943 g
Magnesium acetate tetrahydrate 0.644 g
Calcium chloride dihydrate 0.441 g

Excipients: Citric acid monohydrate (for pH adjustment), glycerol, egg phospholipids for injection, sodium oleate, all-rac-alpha-tocopherol, water.