| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
American Journal of Clinical Nutrition, Vol 35, 1003-1009, Copyright © 1982 by The American Society for Clinical Nutrition, Inc
ORIGINAL RESEARCH COMMUNICATIONS |
AK Kirkemo, ME Burt and MF Brennan
The quantity of water and fat soluble vitamins required to maintain serum levels in cancer patients on total parenteral nutrition (TPN) has yet to be determined. A prospective evaluation of our current intravenous vitamin regimen during TPN was performed in order to define these requirements. Seventy-five patients receiving 97 TPN courses for seven to 60 days were studied. Serum levels of vitamins A (74 courses), B12 (85), folate (62), C (97), and 25-OH-cholecalciferol (25-OH-D) (9) were available for analysis. Daily vitamin intakes were recorded and serum levels were determined weekly. Restoration and maintenance of normal mean serum vitamin levels were achieved for all but 25-OH-D. However, analysis of individual courses in previously depleted patients revealed that serum levels were not restored in three patients (4%) for vitamin A and six patients (66%) for 25-OH-D. A TPN regimen designed to provide the following weekly vitamin quantities: A: 21,000 IU, D: 2100 IU, C: 3500 mg, B12: 126 micrograms, and folate: 7 mg will maintain mean serum vitamin levels for all but 25-OH-D. This regimen has the ability to uniformly restore and maintain vitamins B12, C, and folate in all patients but not in those patients previously deficient in vitamins A and D.
This article has been cited by other articles:
|
|
 |
|
  F.J. Kelly and G.L.J. Sutton Plasma and Red Blood Cell Vitamin E Status of Patients on Total Parenteral Nutrition JPEN J Parenter Enteral Nutr, September 1, 1989; 13(5): 510 - 515. [Abstract] [PDF]
|
|
|
|
|
|
F. Bozzetti Review: Effects of Artificial Nutrition on the Nutritional Status of Cancer Patients JPEN J Parenter Enteral Nutr, July 1, 1989; 13(4): 406 - 420. [Abstract] [PDF]
|
|
|
|
|
|
D. Labadarios, S. J.D. O'Keefe, J. Dicker, L. Van Stuijvenberg, L. Visser, M. E.J. Louw, and G. S. Shephard Plasma Vitamin Levels in Patients on Prolonged Total Parenteral Nutrition JPEN J Parenter Enteral Nutr, March 1, 1988; 12(2): 205 - 211. [Abstract] [PDF]
|
|
|
|
|
|
L. Howard Assessment of Vitamin Status in Patients Undergoing Acute Nutritional Repletion JPEN J Parenter Enteral Nutr, May 1, 1987; 11(3): 217 - 218. [PDF]
|
|
|
|
|
|
D. T. Dempsey, J. L. Mullen, J. L. Rombeau, L. O. Crosby, J. L. Oberlander, L. S. KNox, and G. Melnik Treatment Effects of Parenteral Vitamins in Total Parenteral Nutrition Patients JPEN J Parenter Enteral Nutr, May 1, 1987; 11(3): 229 - 237. [Abstract] [PDF]
|
|
|
|
|
|
R. I. Inculet, J. A. Norton, G. E. Nichoalds, M. M. Maher, D. E. White, and M. F. Brennan Water-Soluble Vitamins in Cancer Patients on Parenteral Nutrition: A Prospective Study JPEN J Parenter Enteral Nutr, May 1, 1987; 11(3): 243 - 249. [Abstract] [PDF]
|
|
|
|
|
|
M. E. Shils, H. Baker, and O. Frank Blood Vitamin Levels of Long-Term Adult Home Total Parenteral Nutrition Patients: The Efficacy of the AMA-FDA Parenteral Multivitamin Formulation JPEN J Parenter Enteral Nutr, March 1, 1985; 9(2): 179 - 188. [Abstract] [PDF]
|
|
|
|
|
|
V. Abrahamian, M. V. Kaminski JR., and G. Cruz Santiago Vitamin C Supplementation of Total Parenteral Nutrition Formulas JPEN J Parenter Enteral Nutr, September 1, 1983; 7(5): 465 - 469. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
