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Table 4 New concentrated preterm AA/dextrose formulation

From: Standardised neonatal parenteral nutrition formulations – Australasian neonatal parenteral nutrition consensus update 2017

 

For preterm infants with restricted PN or water intake after 24–48 h.

Not recommended at rate > 100 ml/kg/day.

 

per 1000 mL

mL/kg/day

  

40

50

60

70

80

90

100

110

Amino acids, g

40

1.6

2.0

2.4

2.8

3.2

3.6

4.0

4.4

Dextrose, g

100

4.0

5.0

6.0

7.0

8.0

9.0

10.0

11.0

Na, mmol

50

2.0

2.5

3.0

3.5

4.0

4.5

5.0

5.5

K, mmol

35

1.4

1.8

2.1

2.5

2.8

3.2

3.5

3.9

Ca, mmol

22

0.9

1.1

1.3

1.5

1.8

2.0

2.2

2.4

Mg, mmol

1.5

0.1

0.1

0.1

0.1

0.1

0.1

0.2

0.2

P, mmol

15

0.6

0.8

0.9

1.1

1.2

1.4

1.5

1.7

Cl, mmol

39.6

1.6

2.0

2.4

2.8

3.2

3.6

4.0

4.4

Acetate, mmol

26

1.0

1.3

1.6

1.8

2.1

2.3

2.6

2.9

Zinc, μg

4900

196

245

294

343

392

441

490

539

Selenium, μg

30

1.2

1.5

1.8

2.1

2.4

2.7

3.0

3.3

Iodine, μg

12

0.5

0.6

0.7

0.8

1.0

1.1

1.2

1.3

Heparin, units

500

20

25

30

35

40

45

50

55

Osmolarity, mOsm/L

1092

Alert - below minimal recommended maintenance AA if no enteral intake

Solution pH

5.75

Alert - above maximal recommended calcium and amino acid intake

Bag volume, mL

750

Stability: up to 61 days @ 2-8 °C and 5 days at below 25 °C.