Each 250 ml unit provides Rose's recommended daily intake of essential amino acids plus 625 mg of histidine, considered essential for uremics. All amino acids designated USP are the 'L' isomer. The sequence of events leading to the establishment of the amino acid needs of man. See Special Precautions in Pediatric Patients for additional information. The overall prevalence of sulfite sensitivity in the general population is unknown and probably low.
Sulfite sensitivity is seen more frequently in asthmatic than in nonasthmatic people.
Safe and effective use of central venous nutrition requires a knowledge of nutrition as well as clinical expertise in recognition and treatment of the complications which can occur. Frequent clinical evaluation and laboratory determinations are necessary for proper monitoring of central venous nutrition. Studies should include blood sugar, serum proteins, kidney and liver function tests, electrolytes, hemogram, carbon dioxide combining power, serum osmolarity, blood cultures, blood ammonia levels, and circulating blood volume. NephrAmine does not replace dialysis and conventional supportive therapy in patients with renal failure. Administration of NephrAmine to children or low birth-weight infants, especially in high doses, may result in hyperammonemia.