The influence of electrolytes on fat emulsions stability in total parenteral nutrition mixtures. 1995

I Grzegorzewska, and A Czarnecki
Pharmacoepidemiology Center, Drug Institute, Warsaw.

Total Parenteral Nutrition (TPN) provides i.v. daily nutrients requirements of the patient, in the form of simple compounds that normally are absorbed from digestive tract. As patients receiving TPN are seriously ill the quality and stability of TPN mixtures is of great importance. Fat emulsions are the most sensitive components of TPN mixtures. They can be modified by other components of a mixture as well as influenced by external agents like temperature and light, and oxygenation reactions. Stability of TPN mixtures, with the focus on influence of electrolytes on decomposition of fat emulsions was studied. Also the stability of newly invented compositions of TPN mixtures was examined. The study involved:visual observation, microscopic examination, pH and osmolarity measurement. The influence of phosphate, potassium, calcium, magnesium and zinc ions, in normally used concentrations in TPN on fat emulsions stability was defined and the influence of temperature, light and volume on the time in which visual and organoleptic changes appeared was estimated. Moreover, it was found that twelve TPN mixtures with suggested new compositions were stable for 7 days of storage at +4C.

UI MeSH Term Description Entries
D010289 Parenteral Nutrition, Total The delivery of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously, or by some other non-alimentary route. The basic components of TPN solutions are protein hydrolysates or free amino acid mixtures, monosaccharides, and electrolytes. Components are selected for their ability to reverse catabolism, promote anabolism, and build structural proteins. Hyperalimentation, Parenteral,Intravenous Hyperalimentation,Nutrition, Total Parenteral,Parenteral Hyperalimentation,Total Parenteral Nutrition,Hyperalimentation, Intravenous
D004355 Drug Stability The chemical and physical integrity of a pharmaceutical product. Drug Shelf Life,Drugs Shelf Lives,Shelf Life, Drugs,Drug Stabilities,Drugs Shelf Life,Drugs Shelf Live,Life, Drugs Shelf,Shelf Life, Drug,Shelf Live, Drugs,Shelf Lives, Drugs
D004573 Electrolytes Substances that dissociate into two or more ions, to some extent, in water. Solutions of electrolytes thus conduct an electric current and can be decomposed by it (ELECTROLYSIS). (Grant & Hackh's Chemical Dictionary, 5th ed) Electrolyte
D005217 Fat Emulsions, Intravenous Emulsions of fats or lipids used primarily in parenteral feeding. Intravenous Fat Emulsion,Intravenous Lipid Emulsion,Lipid Emulsions, Intravenous,Emulsion, Intravenous Fat,Emulsion, Intravenous Lipid,Emulsions, Intravenous Fat,Emulsions, Intravenous Lipid,Fat Emulsion, Intravenous,Intravenous Fat Emulsions,Intravenous Lipid Emulsions,Lipid Emulsion, Intravenous

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