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Parenteral nutrition: which formula? Dr Alison Culkin Research Dietitian St Mark’s Hospital Parenteral nutrition solutions Multi-chamber bags Developed in response to NHS demands to: • Reduce PN compounding time • Reduce pressure on capacity limits • Access to products with pre-defined stability limits for additions Why needed? • Reduction in the investment of aseptic units resulting in rationalisation of products that can be produced BPNG (2008) Position Statement on the use of multi-chamber parenteral nutrition bags for use in adult patients Types of parenteral nutrition Multi-chamber bags Compounded bags • Licensed • Unlicensed • Good stability • Stability needs assessing • Ready to use • Need to be • Room temperature compounded storage • Need refrigeration • Are not nutritionally • Are nutritionally complete complete
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