Abnormal Vitamin Levels in Patients Receiving Home Total Parenteral Nutrition

@article{Mikalunas2001AbnormalVL,
  title={Abnormal Vitamin Levels in Patients Receiving Home Total Parenteral Nutrition},
  author={Vida Mikalunas and Kathleen Fitzgerald and Halina Rubin and R. Mccarthy and Robert M. Craig},
  journal={Journal of Clinical Gastroenterology},
  year={2001},
  volume={33},
  pages={393-396}
}
The administration of multivitamins to patients receiving home parenteral nutrition (HPN) was decreased from once daily to three times weekly during the parenteral multivitamin shortage in 1997. Blood vitamin levels were measured to examine whether the decrement in the infused vitamins affected the levels. Six patients with normal renal and liver function, receiving HPN for 6 months to 10 years, were studied 6 months after the institution of 10 mL of multivitamins thrice weekly. Two patients… 

Serum vitamins in adult patients with short bowel syndrome receiving intermittent parenteral nutrition.

The findings suggest that the administered vitamins were not sufficient for the intermittent PN scheme and that individual adjustments are needed depending on the patient's vitamin status.

Pyridoxal-5'-phosphate deficiency after intestinal and multivisceral transplantation.

Serial monitoring of serum PLP concentrations is recommended for PN-dependent patients with short-bowel syndrome before and after transplantation for early detection and prompt initiation of preemptive therapy.

Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7

Electrolyte intake should be adjusted according to the results of regular laboratory analyses, and patients with normal fluid and electrolyte balance should receive intakes follwing standard recommendations with PN.

The Nutritional Aspects of Intestinal Failure Therapy

The goal of this chapter is to outline the nutritional aspects of intestinal failure management highlighting the specific aspects that make it such a challenging condition.

Monitoring long-term parenteral nutrition

Purpose of review This review discusses the monitoring aimed at achieving good long-term outcomes in people dependent on home parenteral nutrition (HPN). Recent findings There have been recent

Australasian society for parenteral and enteral nutrition (AuSPEN) adult vitamin guidelines for parenteral nutrition.

It appears that the parenteral multivitamin preparations presently available in Australia and NZ are to sufficient avoid deficiency without causing toxicity in most clinical situations for adults receiving PN when provided regularly as part of the PN prescription.

ESPEN guidelines on chronic intestinal failure in adults.

A.S.P.E.N. position paper: recommendations for changes in commercially available parenteral multivitamin and multi-trace element products.

  • V. VanekP. Borum C. Valentine
  • Medicine
    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
  • 2012
The parenteral multi-trace element (TE) preparations that are commercially available in the U.S. require significant modifications and should be made available for treatment of patients with vitamin D deficiency unresponsive to oral vitamin D supplementation.

Home parenteral nutrition support for intestinal failure.

Comparison of a Direct and Indirect Method for Measuring Flavins- Assessing Flavin Status in Patients Receiving Total Parenteral Nutrition

The HPLC method was used to assess prevalence of flavin deficiency in total parenteral nutrition (TPN) patients and was superior to the EGRAC assay for assessing flavin status.

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