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4119603 
Journal Article 
Solubility of calcium and phosphate in two specialty amino acid solutions 
Mackay, MW; Fitzgerald, KA; Jackson, D 
1996 
Yes 
Journal of Parenteral and Enteral Nutrition
ISSN: 0148-6071 
IPA/97/1113334 
Parenter 
REF 17 
63-66 
English 
IPA COPYRIGHT: ASHP Determination of precipitation limits and construction of curves for calcium and phosphorus in parenteral nutrition solutions compounded with specialty amino acid solutions is described, and the effect of temperature, concentration of amino acids, and pH on the solubility of calcium gluconate (2.5-40 mEq/l) and potassium phosphate (2.5-40 mmol/l) in NephrAmine and HepatAmine is reported. Ten amino acid solutions were manufactured with NephrAmine and 12 with HepatAmine at amino acid concentrations of 0.8, 1.5, and 2%. The final dextrose concentration was 10%. Additives included cysteine hydrochloride, sodium bicarbonate, and hydrochloric acid. Relatively small changes in solution pH due to additional amino acids or due to the buffering of the solution to simulate the effects of lipids, caused dramatic changes in calcium and phosphate stability. Temperature and time also affected calcium and phosphate stability. Solubility curves plotted to represent calcium-phosphate solubility limits before visual or microscopic precipitation are given. 
OPPT
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