B. Harraki et al., INFLUENCE OF COPPER, IRON, AND ZINC ON THE PHYSICOCHEMICAL PROPERTIESOF PARENTERAL ADMIXTURE, Journal of parenteral science and technology, 47(5), 1993, pp. 199-204
A parenteral admixture composed of 25% of 20% Intralipid(R), 25% of Az
onutril(R) 25, 37.5% of 30% Glucose(R) and 12.5% of 50% Glucose(R) was
supplemented with copper, iron and zinc in the organic (gluconate) or
inorganic (chloride) form at the following usual final concentrations
: copper 0.24 mg/L, iron 0.50 mg/L, zinc 2.00 mg/L. The mixture was st
ored at 4-degrees-C and at 25-degrees-C for 24, 48, and 72 hours, and
for one week. Determination of the pH indicated good stability of the
mixture containing the trace elements in the gluconate form. A signifi
cant decrease in the pH of the mixture containing the trace elements a
s chlorides was noted after one week of storage at both temperatures.
Particle size analysis revealed no significant variations between the
two formulations after one week of storage. Flocculation kinetics conf
irmed the results obtained with the other two methods used to determin
e physicochemical stability. In addition, the kinetics indicated that
the possibilities of coalescence processes are highly reduced in all c
ases. It may be concluded that the two type of mixtures remain stable
for Seven days at 4-degrees-C and 25-degrees-C However, mixtures conta
ining trace elements in gluconate form should be chosen in cases of lo
nger storage.