Essential Amino Acid, D-Sorbitol & Electrolytes
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📖 Official Clinical Monograph
DGDA Approved Prescribing GuidelinesRecommended for provision of amino acids and energy in patients who require intravenous nutrition. Such conditions include surgery, infections, trauma, burns, prolonged disorders of the gastrointestinal tract, hypoproteinemia, malnutrition, preparation of patients for surgery, chemotherapy or radiation therapy, prolonged coma or refusal to eat.
Generally proteins are provided in a daily dose of 0.8-1.0 g/kg for maintenance and 1.2-2.0 g/kg in catabolic states. The usual adult dosage is 500 ml via intravenous infusion over 200-250 minutes (40-30 drops/min). The dosage should be increased or decreased according to the age and body weight of the patient and the severity of the condition. The infusion rate should be slowed in elderly and severely ill patients. The maximal daily dose of sorbitol should not exceed 100 g. Slow intravenous administration is recommended.
Hypersensitivity to any ingredient of the preparation. Hereditary fructose intolerance, hepatic coma, azotemia, congestive cardiac failure, severe acidosis and disturbances of amino acid metabolism.
Hypersensitivity, chest discomfort and palpitations may occur. Occasionally nausea, vomiting, chills, fever, phlebitis and electrolyte imbalance may occur.
This solution should be administered with care in patients with severe hepatic and renal disorders, diabetes mellitus and in elderly.
Amino acid injection with electrolytes provides crystalline amino acids to promote protein synthesis and wound healing and to reduce the rate of endogenous protein catabolism. Amino acid injection with electrolytes given by central venous infusion in combination with concentrated dextrose, electrolytes, vitamins, trace metals, and ancillary fat supplements, constitutes total parenteral nutrition (TPN). Amino acid injection with electrolytes can also be administered by peripheral vein with dextrose and maintenance electrolytes. Intravenous fat emulsion may be substituted for part of the carbohydrate calories during either TPN or peripheral vein administration of amino acid injection with electrolytes.