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Additrace N (trace elements) Intravenous Infusion for Adults
Who can administer
May be administered by registered competent doctor or nurse/midwife
Available preparations
Additrace N 10ml ampoule
Reconstitution
Already in solution
Dilute further prior to administration
Infusion fluids
Sodium chloride 0.9% or Glucose 5% (ref 1)
Methods of intravenous administration
Intermittent intravenous infusion (ref 1)
- Add one vial (10ml) to 100ml infusion fluid and administer over a minimum of two to three hours
- If also on Solivito N and Vitlipid N, the Additrace may be added to the same infusion bag (ref 2).
- Must use Sodium Chloride 0.9% as the infusion fluid in this situation
- Must protect from light if this combination used
- Invert the infusion bag several times to ensure adequate mixing
Dose in adults
Usual dose
- One vial administered by infusion over at least two to three hours (this long infusion time is to minimise renal losses)(ref 1)
Monitoring
- If treatment is continued for more than four weeks, blood manganese levels should be checked
Further information
Each 10ml vial contains the following:
Iron (as ferric chloride) | 20 micromol |
Zinc (as zinc chloride) | 77 micromol |
Manganese (as manganese chloride) | 1 micromol |
Copper (as copper chloride) | 6 micromol |
Chromium (as chromic chloride) | 0.2 micromol |
Selenium (as sodium selenite) | 1 micromol |
Molybdenum (sodium molybdate) | 0.2 micromol |
Fluorine (as sodium fluoride) | 50 micromol |
Iodine (as potassium iodide) | 1 micromol |
Storage
Store below 250C
References
SPC October 2021
1: Information on file from Fresenius Kabi 'Administration of micronutrients separately from parenteral nutrition' 12th July 2022
2: Data on file from Fresenius Kabi November 2020
Therapeutic classification
Intravenous nutrition
IV Guide Type