May cause allergic-type reactions due to Na metabisulfite content. Frequent evaluation & lab determinations for proper monitoring of parenteral nutrition. GI bleeding; azotemia. Discontinue use if symptoms of hyperammonemia develop; venous thrombosis or phlebitis occurs. Administration of IV soln; strongly hypertonic nutrient soln; glucose; w/ hypertonic dextrose in diabetic or prediabetic patient. Monitor changes in fluid balance, electrolyte conc & acid-base balance during prolonged parenteral therapy. Patients w/ cardiac insufficiency. Always be accompanied by dextrose when infusing in patients w/ MI. Extraordinary electrolyte losses during protracted nasogastric suction, vomiting, diarrhea or GI fistula drainage. Metabolic acidosis, hypophosphatemia, hypocalcemia. Renal & hepatic impairment. Pregnancy. Childn. Elderly.