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Calcium Chloride in Neonatal Parenteral Nutrition: Compatibility Studies Using Laser Methodology

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Title Calcium Chloride in Neonatal Parenteral Nutrition: Compatibility Studies Using Laser Methodology
Names Huston, Robert K. (creator)
Christensen, J. Mark (creator)
Karnpracha, Chanida (creator)
Rosa, Jill E. (creator)
Clark, Sara M. (creator)
Migaki, Evelyn A. (creator)
Wu, YingXing (creator)
Date Issued 2014-09-05 (iso8601)
Note This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by the Public Library of Science. The published article can be found at: http://www.plosone.org/.
Abstract INTRODUCTION: We have previously reported results of precipitation studies for neonatal parenteral nutrition solutions
containing calcium chloride and sodium phosphate using visual methods to determine compatibility. The purpose of this
study was to do further testing of compatibility for solutions containing calcium chloride using more sensitive methods.
METHODS: Solutions of Trophamine (Braun Medical Inc, Irvine, CA) and Premasol (Baxter Pharmaceuticals, Deerfield, IL) were
compounded with calcium chloride and potassium phosphate. Controls contained no calcium or phosphate. After
incubation at 37° for 24 hours solutions without visual precipitation were analyzed to determine mean particle size using
dynamic light scattering from a laser light source.
RESULTS: Particle sizes were similar for control solutions and those without visual precipitation and a mean particle size
<1000 nm. Compatible solutions were defined as those with added calcium and phosphate with no visual evidence of
precipitation and mean particle size <1000 nm. In solutions containing 2.5–3% amino acids and 10 mmol/L of calcium
chloride the maximum amount of potassium phosphate that was compatible was 7.5 mmol/L.
CONCLUSION: Maximum amounts of phosphate that could be added to parenteral nutrition solutions containing Trophamine
and calcium chloride were about 7.5–10 mmol/L less for a given concentration of calcium based upon laser methodology
compared to visual techniques to determine compatibility. There were minor differences in compatibility when adding
calcium chloride and potassium phosphate to Premasol versus Trophamine.
Genre Article
Access Condition http://creativecommons.org/licenses/by/3.0/us/
Identifier Huston, R. K., Christensen, J. M., Karnpracha, C., Rosa, J. E., Clark, S. M., et al. (2014). Calcium Chloride in Neonatal Parenteral Nutrition: Compatibility Studies Using Laser Methodology. PLoS ONE, 9(9), e106825. doi:10.1371/journal.pone.0106825

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