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Parenteral Nutrition

Prosol 20% sulfite free in plastic container

Osmolarity: ≈ 1,835 mOsm/LTonicity: Highly HypertonicpH: 6.0 (5.5 - 6.5) Central Line Required

Clinical Indications

Concentrated amino acid source for compounding Total Parenteral Nutrition (TPN) admixtures. Used to meet high protein requirements in severe catabolic states or fluid restriction.

Dosing & Administration Rate

Rarely infused alone. Compounded with dextrose, lipids, and electrolytes by pharmacy.

Warnings & Precautions

Contraindicated in severe hepatic coma or severe metabolic abnormalities involving amino acids. Monitor BUN and ammonia.

Contraindications

Known hypersensitivity to amino acids. Severe liver disease or hepatic coma. Severe renal impairment (without dialysis). Abnormalities of amino acid metabolism.

Pharmacology & Safety Profile

Mechanism of Action

Provides a source of biologically utilizable essential and non-essential amino acids for protein synthesis, and dextrose as a source of calories.

Adverse Reactions

Phlebitis, fluid overload, hyperglycemia, hyperosmolar syndrome, electrolyte imbalances, metabolic acidosis, liver enzyme elevations.

Compatibility Notes

Used as base for pharmacy compounding.

Electrolyte & Composition Profile

ComponentAmount / Concentration
Essential & Non-Essential Amino Acids200 g/L (20%)
Water for Injectionq.s.
Caloric Density800 kcal/L (from protein)
Nitrogen Content32 g/L

Clinical Parameters

RouteIntravenous (infusion)
Fluid CategoryParenteral Nutrition
Required MonitoringVital signs, fluid intake/output, baseline electrolytes
Administration SetupCentral venous line MANDATORY when infused undiluted. Usually compounded with dextrose/lipids.
Pregnancy SafetyCategory C (FDA). Animal reproduction studies have not been conducted. Should be given to a pregnant woman only if clearly needed.
StorageStore at room temperature. Protect from freezing and light.
Prescription Status Rx Only

Clinical Disclaimer: Data compiled from FDA DailyMed, Baxter/Fresenius prescribing information, and USP monographs. Always verify against the physical product label, your institution's IV protocols, and current pharmacist guidance before administration.