Injection is administered at the same time. Fortunately, this product is very stable.
Therefore, it is not necessary to keep it refrigerated in its liquid state.
(2) Plasma protein fraction (Plasmanate). Plasma protein fraction is a
sterile solution of stabilized human plasma proteins in 0.9% Sodium Chloride Injection.
Each 100 milliliters of this product contains approximately five grams of protein. This
product is nearly colorless (slightly brown). Plasma protein fraction is used in the
treatment of nonhemorrhagic shock (i.e., shock not associated with loss of whole
blood). Side effects associated with this product are uncommon, but they include
increased salivation, nausea, and vomiting.
5-10. NUTRIENT SOLUTIONS (HYPERALIMENTATION PRODUCTS)
These products provide total parenteral nutrition for those patients who cannot,
should not, or will not ingest the nutrients they need to live. It should be noted that a
hyperalimentation can supply all the patient's nutritional needs by administration
through the circulatory system. However, these solutions are quite expensive and,
because of their nutrient content, are highly susceptible to bacterial growth. Most of the
solutions contain high concentrations of carbohydrates (e.g., dextrose). Because of this
high concentration, the solutions must be administered through a large-bore vein. Just
placing the needle or catheter into such a large-bore vein is a surgical procedure in
itself. The hyperalimentation solution is prepared in the Pharmacy Sterile Products
Section by a specially trained person. Extreme care must be taken to prevent microbial
contamination. The preparation of the product itself is quite a task because the
preparer must add ingredients in a certain sequence since many of the components of a
hyperalimentation solution are incompatible in certain concentrations. The components
of most hyperalimentation solutions are water, dextrose, amino acids, electrolytes, and
vitamins. One product, Intralipid, is an oil in water emulsion. Intralipid is one
hyperalimentation product which can be administered through a small-bore vein such as
those found in the arm.