BNF for Children 2011-2012

BNFC 2011–2012 9.3 Intravenous nutrition 467Proprietary Infusion Fluids for Parenteral FeedingPreparationClinOleic 20% (Baxter)Net price 100 mL = £6.28; 250 mL= £10.08; 500 mL = £13.88Nitrogeng/litre1;2 EnergykJ/litreElectrolytes mmol/litreK + Mg 2þ Na + Acet ClGlamin (Fresenius Kabi)22.4 62Net price 250 mL = £14.58; 500 mL= £27.20Intralipid 10% (Fresenius Kabi)Net price 100 mL = £4.70; 500 mL= £10.30Intralipid 20% (Fresenius Kabi)Net price 100 mL = £7.05; 250 mL= £11.60; 500 mL = £15.45Intralipid 30% (Fresenius Kabi)Net price 333 mL = £17.30Lipofundin MCT/LCT 10% (Braun)Net price 100 mL = £7.70; 500 mL= £12.90Lipofundin MCT/LCT 20% (Braun)Net price 100 mL = £12.51; 250 mL= £11.30; 500 mL = £19.18Other components/litre8360 purified olive and soya oil200 g, glycerol 22.5 g, eggphosphatides 12 g4600 soya oil 100 g, glycerol22 g, purified egg phospholipids12 g, phosphate15 mmol8400 soya oil 200 g, glycerol22 g, purified egg phospholipids12 g, phosphate15 mmol12600 soya oil 300 g, glycerol16.7 g, purified egg phospholipids12 g, phosphate15 mmol4430 soya oil 50 g, mediumchain triglycerides 50 g8000 soya oil 100 g, mediumchain triglycerides 100 g3 Primene 10% (Baxter)15 19Net price 100 mL = £5.78, 250 mL= £7.92Synthamin 9 (Baxter)9.1 60 5 70 100 70 acid phosphate 30 mmolNet price 500 mL = £6.66; 1000 mL= £12.34Synthamin 9 EF (electrolyte-free) 9.1 44 22(Baxter)Net price 500 mL = £6.66; 1000 mL= £12.34Vamin 9 Glucose (Fresenius Kabi) 9.4 1700 20 1.5 50 50 Ca 2þ 2.5 mmol, anhydrousNet price 100 mL = £3.80; 500 mLglucose 100 g= £7.70; 1000 mL = £13.40Vaminolact (Fresenius Kabi) 9.3Net price 100 mL = £4.35; 500 mL= £10.001. Note. 1000 kcal = 4200 kJ; 1000 kJ= 238.8 kcal. All entries are A2. Excludes protein- or amino acid-derived energy3. For use in neonates and children only9 Nutrition and bloodElectrolytes are usually provided as the chloride salts ofpotassium and sodium. Acetate salts can be used toreduce the amount of chloride infused; hyperchloraemicacidosis or hypochloraemic alkalosis can occur in pretermneonates or children with renal impairment.Administration. Because of the complex requirementsrelating to parenteral nutrition full detailsrelating to administration have been omitted. In allcases specialist pharmacy advice, product literatureand other specialist literature should be consulted.Supplementary preparationsCompatibility with the infusion solution must beascertained before adding supplementary preparations.Addiphos c (Fresenius Kabi) ASolution, sterile, phosphate 40 mmol, K + 30 mmol,Na + 30 mmol/20 mL. For addition to Vamin c solutionsand glucose intravenous infusions. Net price 20-mL vial = £1.53