Kombinationspræparater (parenteral ernæring)

B05BA

Revideret: 08.03.2018

Af metaboliske grunde bør den parenterale ernæring sikre samtidig indgift af de forskellige fødekomponenter. Det opnås lettest ved blanding af ernæringsopløsningerne i en 3-kammerpose. 

Hyppigst anvendt er færdige ernæringsblandinger med lang holdbarhed ved stuetemperatur, sædvanligvis fremstillet med tre kamre, hvor hvert enkelt kammer indeholder infusionsvæske med henholdsvis glucose, aminosyrer og fedtemulsion. Ved at vride posen brydes adskillelsen mellem de enkelte kamre, og blandingen er klar til brug. En vis mængde af ernæringsblandingen tilføres afhængig af det beregnede energibehov. Hvis blandingen er optimalt sammensat, vil en dækning af energibehovet automatisk medføre sufficient tilførsel af de øvrige ernæringskomponenter. 

Nogle sygehusapoteker fremstiller en eller nogle få standardblandinger, men der er desuden mulighed for at fremstille individuelle blandinger til patienter med særlige ernæringsmæssige behov. 

Vitaminer bør pga. deres labilitet først tilsættes lige før brug. 

Præparater

Indholdsstof Navn og firma Dispform og styrke Pakning Pris DDD
Alanin
Arginin
Calciumchlorid
Glucose
Glycin
Histidin
Isoleucin
Kaliumphosphat
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Tyrosin
Valin
Clinimix N17G35E
Baxter
infusionsvæske, opløsning   4 x 2000 ml  
Alanin
Arginin
Calciumchlorid
Glucose
Glycin
Histidin
Isoleucin
Kaliumphosphat
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Tyrosin
Valin
Clinimix N17G35E
Baxter
infusionsvæske, opløsning   8 x 1000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   4 x 1026 ml (4 x 900 kcal)  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   4 x 1540 ml (4 x 1400 kcal)  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   3 x 2566 ml (3 x 2300 kcal)  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   4 x 2053 ml (4 x 1900 kcal)  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   4 x 1440 ml (4 x 1000 kcal)  (perifer)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   3 x 2400 ml (3 x 1700 kcal)  (perifer)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumacetat
Natriumhydrogenphosphat
Phenylalanin
Prolin
Serin
Sojaolie
Threonin
Tryptophan
Tyrosin
Valin
Kabiven
Fresenius Kabi
infusionsvæske, emulsion   4 x 1920 ml (4 x 1400 kcal)  (perifer)
Alanin
Arginin
Glucose
Glycin
Histidin
Isoleucin
Leucin
Lysin
Methionin
Phenylalanin
Prolin
Serin
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Mixamin Glucos
Fresenius Kabi
infusionsvæske, opløsning   6 x 1000 ml  
Alanin
Arginin
Glucose
Glycin
Histidin
Isoleucin
Leucin
Lysin
Methionin
Phenylalanin
Prolin
Serin
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Mixamin Glucos
Fresenius Kabi
infusionsvæske, opløsning   4 x 2000 ml  
Alanin
Arginin
Glucose
Glycin
Histidin
Isoleucin
Leucin
Lysin
Methionin
Phenylalanin
Prolin
Serin
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Mixamin Glucos
Fresenius Kabi
infusionsvæske, opløsning   6 x 1000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Cystein
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumacetat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Ornithin
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Numeta
Baxter
infusionsvæske, emulsion   6 x 500 ml  (G16E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Cystein
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumacetat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Ornithin
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Numeta
Baxter
infusionsvæske, emulsion   6 x 1000 ml  (G19E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Cystein
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumacetat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Ornithin
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Numeta
Baxter
infusionsvæske, emulsion   10 x 300 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumdihydrogenphosphat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Valin
Nutriflex® Peri
B. Braun Medical
infusionsvæske, opløsning   5 x 1000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumdihydrogenphosphat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Valin
Nutriflex® Peri
B. Braun Medical
infusionsvæske, opløsning   5 x 2000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumdihydrogenphosphat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Valin
Nutriflex® Plus
B. Braun Medical
infusionsvæske, opløsning   5 x 1000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumdihydrogenphosphat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Valin
Nutriflex® Plus
B. Braun Medical
infusionsvæske, opløsning   5 x 2000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumdihydrogenphosphat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Valin
Nutriflex® Special
B. Braun Medical
infusionsvæske, opløsning   5 x 1000 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumdihydrogenphosphat
Leucin
Lysin
Magnesiumacetat
Methionin
Natriumacetat
Natriumchlorid
Phenylalanin
Prolin
Serin
Threonin
Tryptophan
Valin
Nutriflex® Special
B. Braun Medical
infusionsvæske, opløsning   5 x 1500 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   6 x 1000 ml  (Perifer N4E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 1500 ml  (Perifer N4E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 2000 ml  (Perifer N4E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 1500 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 2000 ml  (N5E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   6 x 1000 ml  (N7E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 1500 ml  (N7E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 2000 ml  (N7E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 1500 ml  
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   6 x 1000 ml  (N9E)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   6 x 1000 ml  (N9)
Alanin
Arginin
Asparaginsyre
Calciumchlorid
Glucose
Glutaminsyre
Glycin
Histidin
Isoleucin
Kaliumchlorid
Leucin
Lysin
Magnesiumchlorid
Methionin
Natriumacetat
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Tryptophan
Tyrosin
Valin
Olimel
Baxter
infusionsvæske, emulsion   4 x 1500 ml  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   6 x 493 ml (6 x 550 kcal)  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 986 ml (4 x 1100 kcal)  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1477 ml (4 x 1600 kcal)  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   3 x 2463 ml (3 x 2700 kcal)  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1970 ml (4 x 2200 kcal)  
Alanin
Arginin
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Methionin
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 986 ml (4 x 1100 kcal)  (elektrolytfri)
Alanin
Arginin
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Methionin
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1477 ml (4 x 1600 kcal)  (elektrolytfri)
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1206 ml (4x800 kcal)  (perifer)
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1904 ml (4x1300 kcal)  (perifer)
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1012 ml (4 x 900 kcal)  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 1518 ml (4 x 1350 kcal)  
Alanin
Arginin
Calciumchlorid
Fiskeolie
Glucose
Glycin
Histidin
Leucin
Lysin
Magnesiumsulfat
Methionin
Natriumglycerolphosphat
Olivenolie, renset
Phenylalanin
Prolin
Serin
Sojaolie
Taurin
Threonin
Triglycerider, middelkædelængde
Tryptophan
Tyrosin
Valin
Zinksulfat
SmofKabiven®
Fresenius Kabi
infusionsvæske, emulsion   4 x 2025 ml (4 x 1800 kcal)  
 
 
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