Parenteral Nutrition Trace Element Product Shortage Considerations

    October 2016 in “ Nutrition in clinical practice
    Steve Plogsted, Stephen Adams, Karen Allen, M. Petrea Cober, June Greaves, Kris M. Mogensen, Amy Ralph, Daniel T. Robinson, Ceressa T. Ward, Joe Ybarra, Beverly Holcombe
    TLDR Use oral or enteral supplements when possible and reserve IV trace elements for those solely dependent on PN.
    The document from ASPEN provided guidelines for managing parenteral nutrition (PN) trace element shortages, emphasizing the importance of assessing each patient's need for PN and using oral or enteral supplements when possible. It highlighted the lower bioavailability and lack of FDA regulation of oral supplements compared to intravenous (IV) administration. The document advised reserving IV trace elements for patients solely dependent on PN and recommended strategies for rationing and substituting trace elements during shortages. It also stressed the importance of monitoring for deficiencies, consulting pharmacists, and adhering to regulatory guidelines to ensure patient safety and fair allocation of resources.
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