Cost Containment Using Cysteine HCl Acidification to Increase Calcium/ Phosphate Solubility in Hyperalimentation Solutions
The purpose of this study was to determine if (1) the calcium/phosphate insoluble product was inversely related to pH [when cysteine HCl (CH) was added as neonatal supplementation at 0.5 mM/kg/day to hyperalimentation (HAL) solutions] and (2) the potential cost savings to the hospital. The pH of the...
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| Veröffentlicht in: | JPEN. Journal of parenteral and enteral nutrition 1986-03, Vol.10 (2), p.203-207 |
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| container_title | JPEN. Journal of parenteral and enteral nutrition |
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| creator | Schmidt, Gerald L. Baumgartner, Thomas G. Fischlschweiger, Werner Sitren, Harry S. Thakker, Kamlesh M. Cerda, James J. |
| description | The purpose of this study was to determine if (1) the calcium/phosphate insoluble product was inversely related to pH [when cysteine HCl (CH) was added as neonatal supplementation at 0.5 mM/kg/day to hyperalimentation (HAL) solutions] and (2) the potential cost savings to the hospital. The pH of the HAL solutions was adjusted by adding various amounts of CH to the HAL solution. HAL solutions containing 27 mEq of calcium/liter and 30 mEq (15 mM) of phosphate/liter were compounded. Ten-milliliter aliquots were analyzed at 0, 12, 24, and 48 hr. All samples (n = 56) were filtered (0.22 μ), viewed with 7-10,000 x magnification scanning electron microscopy, and qualitatively analyzed with a Philips Energy Dispersive X-Ray Analysis System equipped with a SW9100 Microprocessor. Calcium/phosphate insoluble product was present in the 0-, 12-, 24-, and 48-hr samples from the CHfree solutions. The solutions containing 759 mg (4.17 mM)/ liter of CH however, remained free of precipitant. This investigation demonstrated that addition of CH to HAL can foster significant cost containment (projected $82,000/yr tangible hospital savings) by the elimination of current calcium/phosphate separation procedures for neonates on parenteral nutrition. (Journal of Parenteral and Enteral Nutrition 10:203-207, 1986) |
| doi_str_mv | 10.1177/0148607186010002203 |
| format | Article |
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The pH of the HAL solutions was adjusted by adding various amounts of CH to the HAL solution. HAL solutions containing 27 mEq of calcium/liter and 30 mEq (15 mM) of phosphate/liter were compounded. Ten-milliliter aliquots were analyzed at 0, 12, 24, and 48 hr. All samples (n = 56) were filtered (0.22 μ), viewed with 7-10,000 x magnification scanning electron microscopy, and qualitatively analyzed with a Philips Energy Dispersive X-Ray Analysis System equipped with a SW9100 Microprocessor. Calcium/phosphate insoluble product was present in the 0-, 12-, 24-, and 48-hr samples from the CHfree solutions. The solutions containing 759 mg (4.17 mM)/ liter of CH however, remained free of precipitant. This investigation demonstrated that addition of CH to HAL can foster significant cost containment (projected $82,000/yr tangible hospital savings) by the elimination of current calcium/phosphate separation procedures for neonates on parenteral nutrition. (Journal of Parenteral and Enteral Nutrition 10:203-207, 1986)</description><identifier>ISSN: 0148-6071</identifier><identifier>EISSN: 1941-2444</identifier><identifier>DOI: 10.1177/0148607186010002203</identifier><identifier>PMID: 3083133</identifier><identifier>CODEN: JPENDU</identifier><language>eng</language><publisher>Thousand Oaks, CA: Sage Publications</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Calcium - administration & dosage ; Cost Control ; Cysteine - administration & dosage ; Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition ; Humans ; Hydrogen-Ion Concentration ; Infant, Newborn ; Infant, Premature ; Intensive care medicine ; Medical sciences ; Parenteral Nutrition, Total - economics ; Parenteral Nutrition, Total - instrumentation ; Parenteral Nutrition, Total - methods ; Phosphates - administration & dosage ; Solubility ; Temperature</subject><ispartof>JPEN. 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Journal of parenteral and enteral nutrition</title><addtitle>JPEN J Parenter Enteral Nutr</addtitle><description>The purpose of this study was to determine if (1) the calcium/phosphate insoluble product was inversely related to pH [when cysteine HCl (CH) was added as neonatal supplementation at 0.5 mM/kg/day to hyperalimentation (HAL) solutions] and (2) the potential cost savings to the hospital. The pH of the HAL solutions was adjusted by adding various amounts of CH to the HAL solution. HAL solutions containing 27 mEq of calcium/liter and 30 mEq (15 mM) of phosphate/liter were compounded. Ten-milliliter aliquots were analyzed at 0, 12, 24, and 48 hr. All samples (n = 56) were filtered (0.22 μ), viewed with 7-10,000 x magnification scanning electron microscopy, and qualitatively analyzed with a Philips Energy Dispersive X-Ray Analysis System equipped with a SW9100 Microprocessor. Calcium/phosphate insoluble product was present in the 0-, 12-, 24-, and 48-hr samples from the CHfree solutions. The solutions containing 759 mg (4.17 mM)/ liter of CH however, remained free of precipitant. This investigation demonstrated that addition of CH to HAL can foster significant cost containment (projected $82,000/yr tangible hospital savings) by the elimination of current calcium/phosphate separation procedures for neonates on parenteral nutrition. (Journal of Parenteral and Enteral Nutrition 10:203-207, 1986)</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Calcium - administration & dosage</subject><subject>Cost Control</subject><subject>Cysteine - administration & dosage</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Parenteral Nutrition, Total - economics</subject><subject>Parenteral Nutrition, Total - instrumentation</subject><subject>Parenteral Nutrition, Total - methods</subject><subject>Phosphates - administration & dosage</subject><subject>Solubility</subject><subject>Temperature</subject><issn>0148-6071</issn><issn>1941-2444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9r3DAQxUVpSbfbfoJS0KH05kZayf-OwaTZlJAGkpzNWBonCrK0lWyK--kj4yWnUoJgJJjfezN6hHzm7DvnZXnKuKwKVvJUOGNst2PiDdnwWvJsJ6V8SzYLkS3Ie_IhxqcEiYKxE3IiWCW4EBvyt_FxpI13Ixg3oBvpfTTugTZzHNE4pPvG0jNltOmNgtF4R0dPL50KCBFpA1aZaTilN48-Hh5hRHrr7dQZa8aZGkf38wEDWLNYr_KlvzziR_KuBxvx0_Hekvsf53fNPrv6dXHZnF1lSqYfZbKoO-iE1v1SdnnfaZFXgIBFIaQutRay6nlCcy7LHDmHogKlO-R5qftKbMm31fcQ_O8J49gOJiq0Fhz6KbZlkU5Z1QkUK6iCjzFg3x6CGSDMLWftknj7j8ST6svRfuoG1C-aY8Sp__XYh6jA9gGcMvEFS1Z1nsAtqVfsj7E4v2Zy-_Pm_JqtK7BVG-EB2yc_BZcC_e_Wz2C7p6Y</recordid><startdate>198603</startdate><enddate>198603</enddate><creator>Schmidt, Gerald L.</creator><creator>Baumgartner, Thomas G.</creator><creator>Fischlschweiger, Werner</creator><creator>Sitren, Harry S.</creator><creator>Thakker, Kamlesh M.</creator><creator>Cerda, James J.</creator><general>Sage Publications</general><general>SAGE Publications</general><general>ASPEN</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198603</creationdate><title>Cost Containment Using Cysteine HCl Acidification to Increase Calcium/ Phosphate Solubility in Hyperalimentation Solutions</title><author>Schmidt, Gerald L. ; Baumgartner, Thomas G. ; Fischlschweiger, Werner ; Sitren, Harry S. ; Thakker, Kamlesh M. ; Cerda, James J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4203-469bab3ddfb3dd25fbd358aeae6634d7dd348f120351475e11a68acdbe157df83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Calcium - administration & dosage</topic><topic>Cost Control</topic><topic>Cysteine - administration & dosage</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. 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Journal of parenteral and enteral nutrition</jtitle><addtitle>JPEN J Parenter Enteral Nutr</addtitle><date>1986-03</date><risdate>1986</risdate><volume>10</volume><issue>2</issue><spage>203</spage><epage>207</epage><pages>203-207</pages><issn>0148-6071</issn><eissn>1941-2444</eissn><coden>JPENDU</coden><abstract>The purpose of this study was to determine if (1) the calcium/phosphate insoluble product was inversely related to pH [when cysteine HCl (CH) was added as neonatal supplementation at 0.5 mM/kg/day to hyperalimentation (HAL) solutions] and (2) the potential cost savings to the hospital. The pH of the HAL solutions was adjusted by adding various amounts of CH to the HAL solution. HAL solutions containing 27 mEq of calcium/liter and 30 mEq (15 mM) of phosphate/liter were compounded. Ten-milliliter aliquots were analyzed at 0, 12, 24, and 48 hr. 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| ispartof | JPEN. Journal of parenteral and enteral nutrition, 1986-03, Vol.10 (2), p.203-207 |
| issn | 0148-6071 1941-2444 |
| language | eng |
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| source | Wiley-Blackwell Journals; MEDLINE; Alma/SFX Local Collection |
| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Calcium - administration & dosage Cost Control Cysteine - administration & dosage Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Humans Hydrogen-Ion Concentration Infant, Newborn Infant, Premature Intensive care medicine Medical sciences Parenteral Nutrition, Total - economics Parenteral Nutrition, Total - instrumentation Parenteral Nutrition, Total - methods Phosphates - administration & dosage Solubility Temperature |
| title | Cost Containment Using Cysteine HCl Acidification to Increase Calcium/ Phosphate Solubility in Hyperalimentation Solutions |
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