Nutritional Agents : Parenteral Nutrition
ISMOF3 “Smofkabiven peripheral emulsion for infusion”
Each ml contains amino acids & electrolytes 10%, glucose 40%, calcium, lipid emulsion 20%; 1448 ml/bag (1004 Cal)
IOLIC1 “Oliclinomel N7-1000 E emulsion for infusion”
Each bag contains amino acids, electrolytes 10%, glucose 40%, calcium, lipid emulsion 20%; 1500 ml/bag
IOLIC2 “Oliclinomel N4-550 E emulsion for infusion ”
Each bag contains amino acids & electrolytes 5.5%, glucose 20%, calcium, lipid emulsion 10%; 1500 ml/bag
適應症：
ISMOF3：靜脈營養輸注，適用於無法由口腔進食或經腸道獲取足夠營養，或禁止由口腔及腸道進食之成年患者。
IOLIC1, IOLIC2：適於成人及二歲以上孩童，在無法或因有禁忌症而不適宜進食，或使用口服腸道營養劑時之靜脈營養。
Usual dose:
The dosage range of 20 ml – 40 ml SmofKabiven Peripheral/kg bw/day corresponds to 0.10-0.20 g nitrogen/kg bw/day (0.6-1.3 g amino acids/kg bw/day) and 14-28 kcal/kg bw/day of total energy (11-22 kcal/kg bw/day of non-protein energy). This covers the need of the majority of the patients.
In obese patients the dose should be based on the estimated ideal weight.
The recommended Maximum daily dose is 40 ml/kg bw/day.
Contraindication:
Hypersensitivity to fish-, egg-, soya- or peanut protein or to any of the active substances or excipients
Severe hyperlipaemia, severe liver insufficiency, severe blood coagulation disorders, renal insufficiency without hemofiltration or dialysis, acute shock, pathologically elevated serum electrolyte levels, hemophagocytotic syndrome.
Precaution:
Conditions of impaired lipid metabolism, serum glucose, electrolytes, osmolarity, fluid balance, acid base status and liver enzymes should be monitored.
Adverse effect:
Fat overload syndrome, rise in body temperature, shivering, chills, nausea, vomiting, transient increases in liver enzymes, thrombophlebitis.