Adult & school-age childn 5-10 mL/kg/day. Neonates 10-15 mL/kg/day. Max: 20 mL/kg/day. Infant & pre-school childn 5-15 mL/kg/day. Infusion rate during the 1st 15 min should not exceed 0.25-0.5 mL/kg/hr. Max infusion rate: 0.75 mL/kg/hr. Duration: 1-2 wk.
Contraindications
Severe blood coagulation disorders, states of shock & collapse, acute thromboembolism, fat embolism, severe septicaemia w/ acidosis & hypoxia, acute phases of MI & stroke, ketoacidotic coma, decompensated diabetic metabolism or unstable metabolism. Disturbances in fat metabolism.
Special Precautions
Monitor water balance, body wt, blood cell counts & coagulation status. Lipid metabolism disturbances. Hypersensitivity to soya or egg lecithin. Pregnancy & lactation.
Adverse Reactions
Very rare: Acute reactions eg, dyspnoea, cyanosis, allergic reactions, hyperlipaemia, marked hyperglycaemia, hypercoagulability, nausea, vomiting, headache, flush, hyperthermia, HTN or hypotension, sweating, shivering, drowsiness, chest & back pain.
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