Commercial
vitamin preparations for TPN are available. The vitamin requirements
for TPN patients are different from non-TPN patients because absorption
is not a factor with TPN.
When
needs are increased for certain disease states, single vitamin supplements
can be added to the solution. Serum vitamin levels can be monitored
and dosage adjusted accordingly.
Vitamin
preparations should be added to the TPN solution just prior to administration
to avoid losses from light exposure.
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Vitamins
(in liquid form) can be added to the TPN solution.
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