| Pronunciation |
 (trase
MET
als) |
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| U.S. Brand Names |
| Chroma-Pak®; Iodopen®; Molypen®; M.T.E.-4®; M.T.E.-5®; M.T.E.-6®; MulTE-PAK-4®; MulTE-PAK-5®; Neotrace-4®; PedTE-PAK-4®; Pedtrace-4®; P.T.E.-4®; P.T.E.-5®; Sele-Pak®; Selepen®; Trace-4®; Zinca-Pak® |
|
| Generic Available |
|
Yes |
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| Synonyms |
| Chromium; Copper; Iodine; Manganese; Molybdenum; Neonatal Trace Metals; Selenium; Zinc |
|
| Pharmacological Index |
|
Trace Element, Parenteral |
|
| Use |
|
Prevent and correct trace metal deficiencies |
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| Pregnancy Risk Factor |
|
C |
|
| Usual Dosage |
|
Recommended daily parenteral dosage: Infants: 0.2 mcg/kg Children: 0.2 mcg/kg (max 5 mcg) Adults: 10-15 mcg Copper2 Infants: 20 mcg/kg Children: 20 mcg/kg (max 300 mcg) Adults: 0.5-1.5 mg Manganese2,3 Infants: 1 mcg/kg Children: 1 mcg/kg (max 50 mcg) Adults: 150-800 mcg Molybdenum1,4 Infants: 0.25 mcg/kg Children: 0.25 mcg/kg (max 5 mcg) Adults: 20-120 mcg Selenium1,4 Infants: 2 mcg/kg Children: 2 mcg/kg (max 30 mcg) Adults: 20-40 mcg Zinc Infants, preterm: 400 mcg/kg Infants, term <3 months: 250 mcg/kg Infants, term >3 months: 100 mcg/kg Children: 50 mcg/kg (max 5 mg) Adults: 2.5-4 mg 1Omit in patients with renal dysfunction. 2Omit in patients with obstructive jaundice. 3Current available commercial products are not in appropriate ratios to maintain this recommendation - doses of up to 10 mcg/kg have been used. 4Indicated for use in long-term parenteral nutrition patients. |
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| Dietary Considerations |
|
Decreased absorption of oral zinc when administered with bran products, protein, and phytates |
|
| Administration |
|
Must be diluted prior to use and infused as component of parenteral nutrition or parenteral solutions |
|
| Dental Health: Local Anesthetic/Vasoconstrictor Precautions |
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No information available to require special precautions |
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| Dental Health: Effects on Dental Treatment |
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No effects or complications reported |
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| Nursing Implications |
|
Persistent diarrhea or excessive gastrointestinal fluid losses from ostomy sites may grossly increase zinc losses |
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| Dosage Forms |
|
Chromium: Injection: 4 mcg/mL, 20 mcg/mL Copper: Injection: 0.4 mg/mL, 2 mg/mL Manganese: Injection: 0.1 mg/mL (as chloride or sulfate salt) Molybdenum: Injection: 25 mcg/mL Selenium: Injection: 40 mcg/mL Zinc: Injection: 1 mg/mL (sulfate); 1 mg/mL (chloride); 5 mg/mL (sulfate) |
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