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8. Vitamins - ESPEN

8. VitaminsMETHODSL iterature SearchTime frame of publication search: 1992 2004; relevantpublications from 1984 1992 were Words: parenteral nutrition [MESH] AND Vitamins [MESH] with limits (English language, infant, children,18years).VITAMINSI ntroductionParenteral Vitamins are usually applied as a mixture ofdifferent Vitamins . Vitamins pose particular pharmaco-logical problems, when given intravenously, since somemay adhere to the tubing and/or be degraded by light. Alsostability in regard to admixture and ingredients mayhave an effect. Therefore the actual amount of vitaminsdelivered to the patient may be much lower than theintended dose, particularly in the case of retinol (vitaminA) and in premature infants who receive solutions withslow infusion rates. The optimal parenteral vitamin re-quirements for children and neonates have never beendetermined. While there are several parenteral vitaminpreparations for adults and older children, there are just afew multivitamin preparations available for preterm in-fants and neonates.

mixture or 230–500 IU/kg per day with the lipid emulsion are often used. Since losses are quite variable and losses are higher in the water soluble mixture, the

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