Parenteral nutrition supplement
Vitamins with minerals and trace elements
Brand names: Cernevit, Decan, Additrace
Adult dose
Dose: 1 vial added to PN bag daily
Route: IV (in PN)
Frequency: OD
Clinical pearls
- Daily addition to parenteral nutrition
- Adjust if monitoring shows trace element excess (manganese, copper)
Contraindications
- Severe hypersensitivity
- Hypercalcaemia
- Hypermagnesaemia
Side effects
- Hypercalcaemia (long-term)
- Manganese deposition (long-term TPN)
- Hypersensitivity
Interactions
- PN incompatibilities
Monitoring
- Trace elements
- LFTs
Reference: BNF; NICE NG32; BAPEN; https://bnf.nice.org.uk/drugs/vitamins-with-minerals-and-trace-elements/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- NUTRIC Score for ICU Nutrition Risk · Nutrition
- Harris-Benedict Equation — Resting Energy Expenditure · Nutrition
- MUST Score (Malnutrition Screening) · Nutrition
- Nutritional Risk Index (NRI) · Nutrition
- Mini Nutritional Assessment (MNA) · Nutritional Assessment
- MUST — Malnutrition Universal Screening Tool · Nutrition
Pathways
- Sepsis Screening and Sepsis Six · UK Sepsis Trust; NICE NG51; Surviving Sepsis Campaign 2021
- Unintentional Weight Loss Workup · NICE NG12; BSG
- Chronic Fatigue Workup · NICE NG206; BMJ Best Practice
- Lymphadenopathy Workup · NICE NG12; BMJ Best Practice
- Pre-op Medical Clearance · NICE NG45; ESC 2022
- Secondary Hypertension Workup · NICE NG136; ESH 2023