Fitzgerald K A, MacKay M W
Am J Hosp Pharm. 1986 Jan;43(1):88-93.
Factors affecting solubilities of calcium and phosphate in neonatal total parenteral nutrient (TPN) solutions containing a new amino acid formulation were examined. Twelve TPN solutions containing various concentrations of TrophAmine, an amino acid formulation specific for infants and young children, were prepared in 10% dextrose injection. Some of the solutions also contained cysteine hydrochloride 40 mg/g of protein and either sodium bicarbonate or hydrochloric acid (lipid emulsion buffer) to buffer the solution pH to simulate that produced by simultaneously administering lipid emulsion through the i.v. line. Calcium gluconate and monobasic and dibasic potassium phosphate were added to 20-mL samples of the TPN solutions to achieve calcium concentrations of 10, 20, 30, 40, or 50 meq/L with phosphate concentrations of either 10, 20, 30, or 40 mmol/L; a total of 20 samples of each TPN solution was prepared. Samples were inspected visually for precipitation or crystallization after 18 hours at 25 degrees C and again after 30 minutes in a water bath at 37 degrees C. Clear samples at this time were also examined microscopically for evidence of microcrystallization. Solubility curves were prepared by plotting graphically the concentrations at which either visual or microscopic precipitation occurred. Temperature, amino acid concentration, and the addition of cysteine hydrochloride and lipid emulsion buffer each influenced the solubilities of calcium and phosphate in the TPN solutions. The use of TrophAmine as the amino acid source allowed slightly greater concentrations of phosphate to be solubilized as compared with older amino acid formulations.(ABSTRACT TRUNCATED AT 250 WORDS)
研究了影响含有新型氨基酸配方的新生儿全胃肠外营养(TPN)溶液中钙和磷溶解度的因素。在10%葡萄糖注射液中制备了12种含有不同浓度TrophAmine(一种专门用于婴幼儿的氨基酸配方)的TPN溶液。部分溶液还含有40mg/g蛋白质的盐酸半胱氨酸以及碳酸氢钠或盐酸(脂质乳剂缓冲剂),以将溶液pH值缓冲至通过静脉管路同时输注脂质乳剂所产生的pH值。向20mL的TPN溶液样品中加入葡萄糖酸钙、磷酸二氢钾和磷酸氢二钾,使钙浓度达到10、20、30、40或50mEq/L,磷浓度为10、20、30或40mmol/L;每种TPN溶液共制备20个样品。在25℃下放置18小时后,目视检查样品是否有沉淀或结晶,然后在37℃水浴中放置30分钟后再次检查。此时澄清的样品也进行显微镜检查,以寻找微晶形成的证据。通过绘制目视或显微镜下出现沉淀时的浓度来制备溶解度曲线。温度、氨基酸浓度、盐酸半胱氨酸的添加以及脂质乳剂缓冲剂均会影响TPN溶液中钙和磷的溶解度。与旧的氨基酸配方相比,使用TrophAmine作为氨基酸来源可使更多的磷溶解。(摘要截取自250字)