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-1.1125 -.8774 -1.1125 -1.7759 c -1.1125 -2.308 -.9291 -2.6026 -.4706 -2.6026 c .1222 -2.6026 .6418 -1.855 .6418 -.8127 c .6418 -.2878 .4401 0 0 0 c h -.5624 -3.1562 m -1.3264 -3.1562 -1.6748 -2.7035 -1.6748 -1.8837 c -1.6748 -.4602 -.9047 .5463 .0855 .5463 c .8864 .5463 1.2163 .0144 1.2163 -.7406 c 1.2163 -2.2145 .3546 -3.1562 -.5624 -3.1562 c f Q q 1 0 0 1 518.986 720.662 cm 0 0 m -.6663 0 -1.1124 -.8774 -1.1124 -1.7759 c -1.1124 -2.308 -.9291 -2.6026 -.4706 -2.6026 c .1223 -2.6026 .6418 -1.855 .6418 -.8127 c .6418 -.2878 .4402 0 0 0 c h -.5624 -3.1562 m -1.3264 -3.1562 -1.6748 -2.7035 -1.6748 -1.8837 c -1.6748 -.4602 -.9047 .5463 .0856 .5463 c .8864 .5463 1.2163 .0144 1.2163 -.7406 c 1.2163 -2.2145 .3546 -3.1562 -.5624 -3.1562 c f Q q 1 0 0 1 522.409 720.691 cm 0 0 m -.9047 0 -1.2593 -1.0997 -1.2593 -1.9842 c -1.2593 -2.4514 -1.1371 -2.6383 -.9475 -2.6383 c -.373 -2.6383 .2505 -1.2076 .3911 -.3521 c .4338 -.0645 l .3116 -.0283 .171 0 0 0 c h .6844 -1.833 m .6049 -2.329 .5255 -2.8253 .4827 -3.1199 c -.0551 -3.1199 l -.0063 -2.8109 .1099 -2.3363 .2933 -1.6678 c .2809 -1.6604 l .0609 -2.2141 -.3974 -3.192 -1.1371 -3.192 c -1.577 -3.192 -1.8156 -2.8612 -1.8156 -2.106 c -1.8156 -.7904 -1.2349 .511 .0916 .511 c .2444 .511 .3667 .4966 .5194 .4677 c .7822 2.1287 l 1.3262 2.1287 l .6844 -1.833 l f Q q 1 0 0 1 527.659 717.571 cm 0 0 m -.538 0 l -.165 2.2863 l -.0734 2.8469 -.1589 3.0916 -.4341 3.0916 c -.9965 3.0916 -1.6198 1.6894 -1.7604 .8053 c -1.8889 0 l -2.4266 0 l -2.121 1.8694 l -2.0416 2.3797 -1.9316 3.0484 -1.8522 3.5731 c -1.3204 3.5731 l -1.3571 3.3358 -1.4426 2.926 -1.6565 2.1639 c -1.6443 2.1639 l -1.3571 2.9189 -.874 3.6448 -.2384 3.6448 c .324 3.6448 .5134 3.1776 .3972 2.4301 c 0 0 l f Q q 1 0 0 1 531.106 717.571 cm 0 0 m -.538 0 l -.4952 .2373 -.4157 .6471 -.2017 1.4092 c -.214 1.4092 l -.5012 .6542 -.9781 -.0721 -1.6137 -.0721 c -2.1761 -.0721 -2.3718 .3955 -2.2495 1.1431 c -1.8582 3.5731 l -1.3141 3.5731 l -1.6871 1.2869 l -1.7787 .7262 -1.6932 .4816 -1.4243 .4816 c -.8619 .4816 -.2324 1.8834 -.0917 2.7678 c .0366 3.5731 l .5745 3.5731 l 0 0 l f Q q 1 0 0 1 534.095 720.641 cm 0 0 m -.8252 0 l -1.1248 -1.8694 l -1.2103 -2.4227 -1.1491 -2.5739 -.8496 -2.5739 c -.6785 -2.5739 -.5502 -2.5523 -.4278 -2.5161 c -.4645 -3.0554 l -.6418 -3.0986 -.8557 -3.1273 -1.033 -3.1273 c -1.6564 -3.1273 -1.8154 -2.7822 -1.6871 -1.9698 c -1.3632 0 l -1.9804 0 l -1.8949 .5033 l -1.2837 .5033 l -1.0941 1.6608 l -.5256 1.8116 l -.7396 .5033 l .0856 .5033 l 0 0 l f Q q 1 0 0 1 536.326 720.583 cm 0 0 m -.5623 .1865 -1.1614 -1.2152 -1.3204 -2.2072 c -1.4487 -3.0125 l -1.9866 -3.0125 l -1.412 .5607 l -.8865 .5607 l -.9353 .2513 -1.0208 -.1296 -1.1981 -.755 c -1.1859 -.762 l -.8435 .1075 -.4768 .7402 .11 .6254 c 0 0 l f Q q 1 0 0 1 537.462 721.733 cm 0 0 m -.2017 0 -.3483 .1871 -.3361 .4098 c -.33 .6541 -.1527 .8412 .0491 .8412 c .2445 .8412 .3974 .6615 .3853 .4388 c .373 .1941 .1957 0 0 0 c h -.4522 -4.1626 m -.99 -4.1626 l -.4094 -.5895 l .1285 -.5895 l -.4522 -4.1626 l f Q q 1 0 0 1 540.005 720.641 cm 0 0 m -.8253 0 l -1.1246 -1.8694 l -1.2105 -2.4227 -1.1492 -2.5739 -.8497 -2.5739 c -.6786 -2.5739 -.5501 -2.5523 -.428 -2.5161 c -.4646 -3.0554 l -.6421 -3.0986 -.8559 -3.1273 -1.033 -3.1273 c -1.6565 -3.1273 -1.8154 -2.7822 -1.6871 -1.9698 c -1.363 0 l -1.9807 0 l -1.8949 .5033 l -1.2836 .5033 l -1.0941 1.6608 l -.5257 1.8116 l -.7395 .5033 l .0855 .5033 l 0 0 l f Q q 1 0 0 1 541.239 721.733 cm 0 0 m -.2015 0 -.3484 .1871 -.3359 .4098 c -.33 .6541 -.1525 .8412 .049 .8412 c .2446 .8412 .3973 .6615 .3851 .4388 c .3729 .1941 .1956 0 0 0 c h -.4521 -4.1626 m -.9901 -4.1626 l -.4095 -.5895 l .1287 -.5895 l -.4521 -4.1626 l f Q q 1 0 0 1 543.471 720.662 cm 0 0 m -.6663 0 -1.1127 -.8774 -1.1127 -1.7759 c -1.1127 -2.308 -.9291 -2.6026 -.4708 -2.6026 c .1222 -2.6026 .6417 -1.855 .6417 -.8127 c .6417 -.2878 .4401 0 0 0 c h -.5624 -3.1562 m -1.3263 -3.1562 -1.6749 -2.7035 -1.6749 -1.8837 c -1.6749 -.4602 -.9047 .5463 .0853 .5463 c .8863 .5463 1.2163 .0144 1.2163 -.7406 c 1.2163 -2.2145 .3544 -3.1562 -.5624 -3.1562 c f Q q 1 0 0 1 547.523 717.571 cm 0 0 m -.5377 0 l -.165 2.2863 l -.0732 2.8469 -.1587 3.0916 -.4341 3.0916 c -.9962 3.0916 -1.6198 1.6894 -1.7601 .8053 c -1.8886 0 l -2.4266 0 l -2.121 1.8694 l -2.0415 2.3797 -1.9314 3.0484 -1.8519 3.5731 c -1.3202 3.5731 l -1.3569 3.3358 -1.4424 2.926 -1.6564 2.1639 c -1.6442 2.1639 l -1.3569 2.9189 -.874 3.6448 -.2382 3.6448 c .324 3.6448 .5135 3.1776 .3974 2.4301 c 0 0 l f Q q 1 0 0 1 550.334 720.691 cm 0 0 m -.9047 0 -1.2591 -1.0997 -1.2591 -1.9842 c -1.2591 -2.4514 -1.1371 -2.6383 -.9474 -2.6383 c -.373 -2.6383 .2505 -1.2076 .3911 -.3521 c .4338 -.0645 l .3116 -.0283 .171 0 0 0 c h .4829 -3.1199 m -.0612 -3.1199 l -.0061 -2.8109 .1099 -2.3363 .2935 -1.6678 c .2812 -1.6604 l .0611 -2.2141 -.3974 -3.192 -1.1371 -3.192 c -1.577 -3.192 -1.8154 -2.8612 -1.8154 -2.106 c -1.8154 -.7904 -1.2349 .511 .0916 .511 c .4401 .511 .7641 .4677 1.045 .4029 c .7211 -1.5957 .6112 -2.2642 .4829 -3.1199 c f Q q 1 0 0 1 552.363 717.571 cm 0 0 m -.5378 0 l .3118 5.2485 l .8498 5.2485 l 0 0 l f Q q 1 0 0 1 556.959 720.533 cm 0 0 m -.1652 .0865 -.3425 .1366 -.5563 .1366 c -1.3265 .1366 -1.6873 -.884 -1.6873 -1.6964 c -1.6873 -2.0705 -1.5834 -2.4516 -1.0516 -2.4516 c -.8131 -2.4516 -.5563 -2.3868 -.3669 -2.2788 c -.4034 -2.8469 l -.6174 -2.9406 -.8989 -3.0194 -1.2044 -3.0194 c -1.9929 -3.0194 -2.2618 -2.5161 -2.2618 -1.8406 c -2.2618 -.4742 -1.6078 .6689 -.5198 .6689 c -.2691 .6689 -.0673 .6256 .122 .5609 c 0 0 l f Q q 1 0 0 1 559.025 720.691 cm 0 0 m -.9047 0 -1.2592 -1.0997 -1.2592 -1.9842 c -1.2592 -2.4514 -1.1369 -2.6383 -.9473 -2.6383 c -.3728 -2.6383 .2507 -1.2076 .3912 -.3521 c .4338 -.0645 l .3118 -.0283 .1712 0 0 0 c h .4828 -3.1199 m -.0612 -3.1199 l -.0061 -2.8109 .1101 -2.3363 .2935 -1.6678 c .2813 -1.6604 l .0613 -2.2141 -.3972 -3.192 -1.1369 -3.192 c -1.5769 -3.192 -1.8153 -2.8612 -1.8153 -2.106 c -1.8153 -.7904 -1.2347 .511 .0917 .511 c .4403 .511 .7642 .4677 1.0452 .4029 c .7213 -1.5957 .6113 -2.2642 .4828 -3.1199 c f Q q 1 0 0 1 562.503 720.583 cm 0 0 m -.5622 .1865 -1.1611 -1.2152 -1.3202 -2.2072 c -1.4485 -3.0125 l -1.9865 -3.0125 l -1.4119 .5607 l -.8862 .5607 l -.9352 .2513 -1.0207 -.1296 -1.198 -.755 c -1.1857 -.762 l -.8434 .1075 -.4767 .7402 .1101 .6254 c 0 0 l f Q q 1 0 0 1 564.251 720.72 cm 0 0 m -.4829 0 -.8069 -.496 -.9475 -1.1 c -.0061 -1.0566 .4097 -.8337 .4097 -.4025 c .4097 -.1439 .2446 0 0 0 c h -1.0148 -1.5744 m -1.033 -1.6824 -1.0453 -1.862 -1.0453 -1.9915 c -1.0453 -2.5449 -.8802 -2.6887 -.3914 -2.6887 c -.1039 -2.6887 .2017 -2.6096 .4645 -2.4804 c .4645 -2.9981 l .1713 -3.1345 -.1833 -3.2136 -.5807 -3.2136 c -1.2775 -3.2136 -1.6014 -2.8613 -1.6014 -2.0559 c -1.6014 -.6686 -.9475 .4889 .0611 .4889 c .7092 .4889 .9537 .1008 .9537 -.3234 c .9537 -1.093 .2872 -1.5168 -1.0148 -1.5744 c f Q EMC /Artifact <>BDC q 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n 1 .89 0 0 k q 1 0 0 1 298.526 510.444 cm 0 0 m 257.014 0 l 258.58 0 259.849 -1.2693 259.849 -2.835 c 259.849 -127.559 l 259.849 -129.125 258.58 -130.394 257.014 -130.394 c -257.014 -130.394 l -258.58 -130.394 -259.849 -129.125 -259.849 -127.559 c -259.849 -2.835 l -259.849 -1.2693 -258.58 0 -257.014 0 c h f* Q EMC /P <>BDC BT /TT2 1 Tf 11 0 0 11 59.993 482.7911 Tm 0 0 0 0 k .01 Tc .1341 Tw (Commercially available, licensed, multi-chamber bags \(MCBs\) are increasingly used in home)Tj ET EMC /P <>BDC BT 11 0 0 11 536.2147 482.7911 Tm 0 Tc 0 Tw ( )Tj ET EMC /P <>BDC BT 11 0 0 11 540.8558 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 545.497 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 550.1381 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 554.7793 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 559.4204 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 564.0615 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 568.7026 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 573.3438 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 577.9849 482.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 59.993 466.7911 Tm -.0005 Tw (parenteral support \(HPS\) regimens in line with the Medicines and Healthcare Products Regulatory)Tj ET EMC /P <>BDC BT 11 0 0 11 536.2144 466.7911 Tm 0 Tw ( )Tj ET EMC /P <>BDC BT 11 0 0 11 59.993 450.7911 Tm .01 Tc .0855 Tw [(Authority and the Royal Pharmaceutical Society guidance. )18.1(This will aid optimisation of aseptic)]TJ ET EMC /P <>BDC BT 11 0 0 11 536.2145 450.7911 Tm 0 Tc 0 Tw ( )Tj ET EMC /P <>BDC BT 11 0 0 11 540.3213 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 544.4282 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 548.5351 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 552.6418 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 556.7487 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 560.8555 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 564.9624 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 569.0693 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 573.176 450.7911 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 59.993 434.7911 Tm .0014 Tc .0681 Tw [(capacity)74.2(, given the predicted increase in demand \(Lord Carter 2020 review of Pharmacy aseptic)]TJ ET EMC /P <>BDC BT 11 0 0 11 536.2127 434.7911 Tm 0 Tc 0 Tw ( )Tj ET EMC /P <>BDC BT 11 0 0 11 59.993 418.7911 Tm .0473 Tw (services in England\). MCBs can be safely incorporated into HPS regimens, either as solely MCB)Tj ET EMC /P <>BDC BT 11 0 0 11 536.2141 418.7911 Tm 0 Tw ( )Tj ET EMC /P <>BDC BT 11 0 0 11 59.993 402.7911 Tm [(+/- intravenous fluids, or alongside compounded parenteral nutrition bags as a hybrid)37.1( regimen.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 12 0 0 12 39.993 363.4945 Tm 1 .89 0 0 k (Key points)Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 101.3348 363.4945 Tm 0 0 0 .8 k ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.993 345.5251 Tm (1.)Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 345.5251 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 345.5251 Tm [(A)55.2( detailed history)74.2(, including medications, gastrointestinal anatomy )]TJ ET EMC /P <>BDC BT 8 0 0 8 49.109 333.2252 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 333.2252 Tm (and co-morbidity should be recorded in order to allow predictions )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 320.9252 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 320.9252 Tm (about nutritional and electrolyte requirements. )Tj ET EMC /P <>BDC BT 8 0 0 8 215.8708 320.9252 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.993 302.9557 Tm (2.)Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 302.9557 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 302.9557 Tm (In line with regulatory guidance all patients receiving HPS should )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 290.6559 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 290.6559 Tm (be considered for a licensed, non-compounded regimen, before )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 278.3559 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 278.3559 Tm (consideration is given to using a hybrid model \(a combination)Tj ET EMC /P <>BDC BT 8 0 0 8 48.497 266.0558 Tm ( of )Tj ET EMC /P <>BDC BT 8 0 0 8 59.8356 266.0558 Tm [(non-compounded and compounded HPS\) or)55.2(, as a final option, )]TJ ET EMC /P <>BDC BT 8 0 0 8 49.109 253.7559 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 253.7559 Tm (a fully compounded \(bespoke\) HPS regimen.)Tj ET EMC /P <>BDC BT 8 0 0 8 219.993 253.7559 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.993 235.7865 Tm (3.)Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 235.7865 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 235.7865 Tm [(T)110.8(o)0( meet the needs of an individual patient, the regimen may require )]TJ ET EMC /P <>BDC BT 8 0 0 8 49.109 223.4865 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 223.4865 Tm (additional intravenous fluids with or without electrolytes.)Tj ET EMC /P <>BDC BT 8 0 0 8 248.3238 223.4865 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.993 205.5172 Tm (4.)Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 205.5172 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 205.5172 Tm (MCBs are available in both triple-chamber \(nitrogen, glucose, )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 193.2173 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 193.2173 Tm [(and lipid\) and double-chamber \(omitting the lipid\) bags. However)55.2(, )]TJ ET EMC /P <>BDC BT 8 0 0 8 49.109 180.9173 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 180.9173 Tm (double-chamber options are limited within the UK. Electrolyte-free )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 168.6172 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 168.6172 Tm (versions are available in some product ranges. )Tj ET EMC /P <>BDC BT 8 0 0 8 218.9762 168.6172 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.993 150.648 Tm (5.)Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 150.648 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 150.648 Tm (Consideration needs to be given to the lipid source and amount, )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 138.3479 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 138.3479 Tm (since it may be necessary to limit the number of triple-chamber )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 126.0479 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 126.0479 Tm (MCBs in long-term non-compounded HPS regimens to once or )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 113.748 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 113.748 Tm [(twice weekly)74.2(.)]TJ ET EMC /P <>BDC BT 8 0 0 8 97.8629 113.748 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.993 95.7787 Tm (6.)Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 95.7787 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 95.7787 Tm (As an MCB or intravenous fluid regimen does not contain )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 83.4787 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 83.4787 Tm (micronutrients \(vitamins and some minerals\), the micronutrients )Tj ET EMC /P <>BDC BT 8 0 0 8 49.109 71.1786 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 71.1786 Tm [(may need to be given orally)74.2(, orally)74.2(, intravenously or as a separate )]TJ ET EMC /P <>BDC BT 8 0 0 8 49.109 58.8785 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.3317 58.8785 Tm (infusion. )Tj ET EMC /P <>BDC BT 8 0 0 8 83.3512 58.8785 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.1843 366.4066 Tm (7.)Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 366.4066 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 366.4066 Tm (Consideration should be given to the practicalities and patient/carer )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 354.9066 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 354.9066 Tm (training needs of administering multiple infusions. Patients keeping )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 343.4066 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 343.4066 Tm (a weekly diary of their regimen can mitigate risks. )Tj ET EMC /P <>BDC BT 8 0 0 8 493.4798 343.4066 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.1843 326.2373 Tm (8.)Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 326.2373 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 326.2373 Tm (The formulation and prescription templates available as part of the )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 314.7372 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 314.7372 Tm (Home Parenteral Nutrition Framework should be utilised to ensure )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 303.2373 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 303.2373 Tm -.015 Tc (standardisation and consistency across all Integrated Severe Intestinal)Tj ET EMC /P <>BDC BT 8 0 0 8 557.925 303.2373 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 291.7373 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 291.7373 Tm -.03 Tc (Failure and Home Parenteral Nutrition Centres and Homecare Providers.)Tj ET EMC /P <>BDC BT 8 0 0 8 557.858 291.7373 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.1843 274.568 Tm (9.)Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 274.568 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 274.568 Tm [(For all HPS regimens, patients should have buf)18.1(fer bags and/or )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.3002 263.068 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 263.068 Tm [(intravenous fluids in their home in case of emergency)74.2(. )]TJ ET EMC /P <>BDC BT 8 0 0 8 521.1843 263.068 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 12 0 0 12 305.1843 242.5141 Tm 1 .89 0 0 k (Explanations)Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 379.8679 242.5141 Tm 0 0 0 .8 k ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.1843 225.3448 Tm (1.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 314.3002 225.3448 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 316.5228 225.3448 Tm (Knowledge of the remaining gut anatomy should allow the enteral )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 213.8448 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 213.8448 Tm (route to be fully optimised wherever possible, and predictions about )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 202.3448 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 202.3448 Tm (medication and micronutrient absorption to be made. Consideration )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 190.8448 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 190.8448 Tm (should be given to distal feeding or chyme reinfusion if appropriate.)Tj ET EMC /P <>BDC BT 8 0 0 8 553.9994 190.8448 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.1843 173.6754 Tm (2.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 314.3002 173.6754 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 316.5228 173.6754 Tm (Where possible it is always advisable to use licensed medicinal )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 162.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 162.1754 Tm (products ahead of unlicensed options unless there is a clear special)Tj ET EMC /P <>BDC BT 8 0 0 8 556.226 162.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 150.6754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 150.6754 Tm (clinical need. In line with the UK Medicines Regulatory Framework, )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 139.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 139.1754 Tm (all patients should be considered firstly for entirely non-compounded)Tj ET EMC /P <>BDC BT 8 0 0 8 557.9955 139.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 127.6754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 127.6754 Tm -.01 Tc [(HPS regimens. When a patient)18.1(s nutritional needs cannot be provided)]TJ ET EMC /P <>BDC BT 8 0 0 8 557.8338 127.6754 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3401 116.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 116.1754 Tm -.005 Tc (using a regimen consisting entirely of MCB and/or intravenous fluids,)Tj ET EMC /P <>BDC BT 8 0 0 8 556.9988 116.1754 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 104.6754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 104.6754 Tm -.025 Tc [(the use a combination of MCBs with compounded PN \(hybrid)37.1( regimen\))]TJ ET EMC /P <>BDC BT 8 0 0 8 556.2823 104.6754 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3401 93.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 93.1754 Tm -.005 Tc (should)Tj ET EMC /P <>BDC BT 8 0 0 8 339.8572 93.1754 Tm 0 Tc ( be considered before using a fully compounded \(bespoke\) )Tj ET EMC /P <>BDC BT 8 0 0 8 314.3002 81.6754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 81.6754 Tm [(regimen. )18.1(The flexibility of utilising some compounded bags within )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.3002 70.1754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 70.1754 Tm [(the regimen may allow for a patient)18.1(s weekly needs, especially of )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.3002 58.6754 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.5228 58.6754 Tm (micronutrients, to be met. )Tj ET EMC /P <>BDC BT 8 0 0 8 409.0033 58.6754 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 9 0 0 9 22.6772 814.1643 Tm 1 .15 0 0 k [(THE BRITISH INTESTINAL)18.1( F)55.2(AILURE )37.1(ALLIANCE \(BIF)55.2(A\) T)18.1(O)0(P)18.1( TIPS )37.1(ARTICLE SERIES)]TJ ET EMC /Artifact <>BDC 0 0 0 .6 k .015015 806.78 595.29 1.417 re f EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 22.6772 14.3571 Tm 0 0 0 0 k [(BIF)55.2(A)55.2( is a Specialist Interest Group of ϳԹ )]TJ ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 191.2006 14.3571 Tm [(www)37.1(.bapen.org.uk )]TJ ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 38.993 519.086 Tm 0 0 0 .8 k [(Simon Harrison, Kirstine Farrer)55.2(, Uchu Meade, Sarah Zeraschi and the BIF)55.2(A)55.2( Committee)]TJ ET EMC /P <>BDC BT 6 0 0 6 510.4381 41.029 Tm (Continued over page...)Tj ET EMC /P <>BDC BT 8 0 0 8 519.8977 14.3585 Tm 0 0 0 0 k (February 2023)Tj ET EMC Q endstream endobj 67 0 obj <>/ExtGState<>>> endobj 73 0 obj <> endobj 131 0 obj <>stream /Figure <>BDC q 1 i -16 794.836 625.344 -936.03 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS2 gs q 702.114 106.142 -80.977 535.654 11.868 -89.181 cm /Im1 Do Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT4 1 Tf 9 0 0 9 22.6772 814.1656 Tm 1 .15 0 0 k 0 Tc 0 Tw [(THE BRITISH INTESTINAL)18.1( F)55.2(AILURE )37.1(ALLIANCE \(BIF)55.2(A\) T)18.1(O)0(P)18.1( TIPS )37.1(ARTICLE SERIES)]TJ ET EMC /Artifact <>BDC 0 0 0 .6 k .015015 806.781 595.29 1.4171 re f EMC /Artifact <>BDC 1 .1 0 .1 k .015015 0 595.29 31.482 re f EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 22.6772 14.3583 Tm 0 0 0 0 k [(BIF)55.2(A)55.2( is a Specialist Interest Group of ϳԹ )]TJ ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 191.2007 14.3583 Tm [(www)37.1(.bapen.org.uk )]TJ ET EMC /Artifact <>BDC 0 0 0 .08 k 38 32.613 520.424 289.134 re f EMC /P <>BDC BT 9 0 0 9 56.4701 300.4822 Tm 1 .89 0 0 k (Suggested reading:)Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 164.4701 300.4822 Tm 0 0 0 .8 k ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 285.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 285.6476 Tm [(Sharkey L)37.1( and the BIF)55.2(A)55.2( committee \(2022\). ϳԹ/BIF)55.2(A)55.2( guidelines on the Diagnosis and Management of Intestinal Failure )55.2(Associated)]TJ 59.2744 0 TD ( )Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 273.6476 Tm [(Liver Disease \(IF)55.2(ALD\). )55.2(A)18.1(vailable online: www)55.2(.bapen.org.uk/pdfs/bifa/bifa-ifald-guidelines.pdf \(Dec 2022\).)]TJ ET EMC /P <>BDC BT 8 0 0 8 434.3608 273.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 261.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 261.6476 Tm [(Mercer-Smith G, Kirk C, Gemmell L, Mountford C, Nightingale J, )18.1(Thompson N and the BIF)55.2(A)55.2( committee \(2021\). Haematological and )]TJ ET EMC /P <>BDC BT 8 0 0 8 64.974 249.6476 Tm [(Biochemical Monitoring of )55.2(Adult Patients receiving Home Parenteral Nutrition. )55.2(A)18.1(vailable online: www)55.2(.bapen.org.uk/pdfs/bifa/posi)]TJ 56.4013 0 TD (tion-)Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 237.6476 Tm (statements/position-statement-haematological-biochemical-monitoring-adult-hpn.pdf \(Dec 2022\))Tj ET EMC /P <>BDC BT 8 0 0 8 404.2552 237.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 225.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 225.6476 Tm (Crooks B, )Tj ET EMC /P <>BDC BT /TT6 1 Tf 8 0 0 8 102.3177 225.6476 Tm (et al.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 119.6615 225.6476 Tm ( \(2022\). Catheter-related infection rates in patients receiving customized home parenteral nutrition compared with )Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 213.6476 Tm [(multichamber bags. J Parenter Enteral Nutr)55.2(.; 46: 254-257. )]TJ ET EMC /P <>BDC BT 8 0 0 8 272.1927 213.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 201.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 201.6476 Tm (Harrison, S, )Tj ET EMC /P <>BDC BT /TT6 1 Tf 8 0 0 8 109.431 201.6476 Tm (et al.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 126.7748 201.6476 Tm ( \(2022\). Hybrid model of compounded and multichamber bag parenteral nutrition for adults with chronic intestinal )Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 189.6476 Tm [(failure. J Parenter Enteral Nutr)55.2(.; 46: 1632-1638. )]TJ ET EMC /P <>BDC BT 8 0 0 8 237.517 189.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 177.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 177.6476 Tm (Future NHS \(2022\). NHS England home parenteral nutrition clinical advice and management group. Home Parenteral Support )Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 165.6476 Tm (\(Home Parenteral Nutrition [HPN] and/or Home Parenteral Fluid and Electrolytes [HPE]\). Prescriptions for patients with Intestin)Tj 55.9678 0 TD (al )Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 153.6476 Tm [(Failure: )55.2(Assessing for non-compounded/hybrid regimens and completion of the formulation template. )55.2(A)18.1(vailable online: )]TJ ET EMC /P <>BDC BT 8 0 0 8 64.974 141.6476 Tm (https://future.nhs.uk/homePN/view?objectId=137178277 \(Dec 2022\).)Tj ET EMC /P <>BDC BT 8 0 0 8 308.0131 141.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 129.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 129.6476 Tm (Pironi L, )Tj ET EMC /P <>BDC BT /TT6 1 Tf 8 0 0 8 96.5443 129.6476 Tm (et al.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 113.8881 129.6476 Tm [( \(2020\). Home parenteral nutrition provision modalities for chronic intestinal failure in adult patients: )55.2(An international )]TJ ET EMC /P <>BDC BT 8 0 0 8 64.974 117.6476 Tm [(survey)74.2(. Clin Nutr)55.2(.; 39 \(2\): 585-591. )]TJ ET EMC /P <>BDC BT 8 0 0 8 188.8803 117.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 105.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 105.6476 Tm [(GOV)91.8(.UK \(2014\). )18.1(The supply of unlicensed medicinal products 'specials', MHRA)55.2( guidance note 14. )18.1(The Medicines and Healthcare )]TJ ET EMC /P <>BDC BT 8 0 0 8 64.974 93.6476 Tm [(Products Regulatory )55.2(Authority)74.2(. )55.2(A)18.1(vailable online: www)55.2(.gov)74.2(.uk/government/publications/supply-unlicensed-medicinal-products-specia)]TJ 57.8085 0 TD (ls )Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 81.6476 Tm (\(Dec 2022\).)Tj ET EMC /P <>BDC BT 8 0 0 8 106.7709 81.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.4701 69.6476 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 64.974 69.6476 Tm [(Department of Health and Social Care by Lord Carter of Coles \(2020\). )18.1(T)37.1(ransforming NHS Pharmacy )55.2(Aseptic Services in England. )]TJ ET EMC /P <>BDC BT 8 0 0 8 64.974 57.6476 Tm [(A)18.1(vailable online: https://shbn.org.uk/wp-content/uploads/2021/02/T)37.1(ransforming-NHS-pharmacy-aseptic-services-in-England.pdf )]TJ ET EMC /P <>BDC BT 8 0 0 8 64.974 45.6476 Tm (\(Dec 2022\).)Tj ET EMC /P <>BDC BT 8 0 0 8 106.7709 45.6476 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 519.3444 14.3583 Tm 0 0 0 0 k (February 2023)Tj ET EMC /P <>BDC BT 8 0 0 8 39.8747 782.0668 Tm 0 0 0 .8 k (3.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 48.9906 782.0668 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 51.2133 782.0668 Tm (When assessing for suitability of including MCBs into an HPS )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 770.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 770.5668 Tm (regimen, it is often easier to consider the macronutrient and )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 759.0668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 759.0668 Tm (electrolyte needs of the patient as a weekly total. In devising a )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 747.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 747.5668 Tm (HPS regimen, an assessment needs to be made about whether )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 736.0668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 736.0668 Tm (the patient can tolerate daily fluctuations in fluid and/or electrolytes )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 724.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 724.5668 Tm (in their regimen.)Tj ET EMC /P <>BDC BT 8 0 0 8 108.5726 724.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.8747 707.3975 Tm (4.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 48.9906 707.3975 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 51.2133 707.3975 Tm (Both triple-chamber and double-chamber MCBs may be used to )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 695.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 695.8975 Tm [(meet an individual)18.1(s macronutrient requirements \(particularly lipid\))]TJ ET EMC /P <>BDC BT 8 0 0 8 48.3787 684.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 50.6013 684.3975 Tm -.01 Tc [(to reduce the risk of intestinal failure associated liver disease \(IF)55.2(ALD\).)]TJ ET EMC /P <>BDC BT 8 0 0 8 291.9111 684.3975 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 49.1106 672.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 672.8975 Tm -.015 Tc (Electrolyte free preparations \(including of MCBs\) occasionally)Tj ET EMC /P <>BDC BT 8 0 0 8 261.6487 672.8975 Tm 0 Tc ( may be )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 661.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 661.3975 Tm (given to patients with very specific electrolyte needs.)Tj ET EMC /P <>BDC BT 8 0 0 8 237.0843 661.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.8747 644.2282 Tm (5.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 48.9906 644.2282 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 51.2133 644.2282 Tm (Where possible mixed lipid emulsions should be used, and solely )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 632.7281 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 632.7281 Tm (soybean-based lipid emulsions \(which may be associated with )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 621.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 621.2282 Tm [(abnormal liver function tests\) avoided. )18.1(The lipid content of the HPS )]TJ ET EMC /P <>BDC BT 8 0 0 8 48.9906 609.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 609.7282 Tm (regimen ideally should remain below 1 g/kg/day whilst ensuring that )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 598.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 598.2282 Tm (excessive glucose calories are not given. )Tj ET EMC /P <>BDC BT 8 0 0 8 198.8461 598.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.8747 581.0589 Tm (6.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 48.9906 581.0589 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 51.2133 581.0589 Tm (Due to the lack of micronutrients within commercially available )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 569.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 569.5589 Tm (MCBs, there needs to be consideration of how patients receive )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 558.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 558.0589 Tm [(adequate supplementation. )18.1(This can be done orally via multivitamin )]TJ ET EMC /P <>BDC BT 8 0 0 8 48.9906 546.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 546.5589 Tm (and trace element preparations such as Forceval)Tj ET EMC /P <>BDC BT 4.8 0 0 4.8 224.639 548.8839 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 228.1758 546.5589 Tm ( \(also available on)Tj ET EMC /P <>BDC BT 8 0 0 8 292.6602 546.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 535.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 535.0589 Tm (the national home parenteral nutrition \(HPN\) framework in the )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 523.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 523.5589 Tm [(soluble and capsule formulations\). Generally)74.2(, water soluble vitamins)]TJ ET EMC /P <>BDC BT 8 0 0 8 291.6274 523.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 512.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 512.0589 Tm (taken orally should be absorbed even with a very short bowel, )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 500.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 500.5589 Tm (however lipid soluble ones may not. If there is a colon in continuity )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 489.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 489.0589 Tm (then some vitamins \(e.g. thiamine, riboflavin, biotin, panthothenic )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 477.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 477.5589 Tm (acid, folate and vitamin K\) can be manufactured in variable amounts)Tj ET EMC /P <>BDC BT 8 0 0 8 292.2367 477.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 466.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 466.0589 Tm (by colonic bacteria. If the patient is unable or unlikely to absorb oral )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 454.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 454.5589 Tm -.01 Tc (medication then intravenous multivitamin and trace element infusions)Tj ET EMC /P <>BDC BT 8 0 0 8 290.3505 454.5589 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 443.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 443.0589 Tm -.02 Tc (can also be used alongside MCBs for up to 7 nights a week, depending)Tj ET EMC /P <>BDC BT 8 0 0 8 292.4991 443.0589 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 431.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 431.5589 Tm [(on the patient)18.1(s needs \(determined by routine monitoring\).)]TJ ET EMC /P <>BDC BT 8 0 0 8 256.0766 431.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 39.8747 414.3897 Tm (7.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 48.9906 414.3897 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 51.2133 414.3897 Tm (During the last few years when there has been a substantial use )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 402.8897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 402.8897 Tm [(of MCBs for HPS across the country)74.2(, no evidence has emerged )]TJ ET EMC /P <>BDC BT 8 0 0 8 48.9906 391.3897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 391.3897 Tm (that patients requiring multiple infusions as part of their parenteral )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 379.8897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 379.8897 Tm (support \(or who use double/triple-infusion sets\) are at increased )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 368.3897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 368.3897 Tm (risk of catheter-related blood stream infection, despite increased )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 356.8896 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 356.8896 Tm [(connections to the central venous catheter)55.2(. )18.1(The use of MCBs )]TJ ET EMC /P <>BDC BT 8 0 0 8 48.9906 345.3897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 345.3897 Tm (has allowed the continued expansion of HPN to the increasing )Tj ET EMC /P <>BDC BT 8 0 0 8 48.9906 333.8897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 51.2133 333.8897 Tm [(numbers of patients who need it. )18.1(The national database and audits )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 782.0668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 782.0668 Tm (allow continued monitoring of infection rates across all HPS )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 770.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 770.5668 Tm (patients. Manufacturers hold limited data on y-site infusions of )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 759.0668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 759.0668 Tm (fluids; therefore, they should be contacted for advice regarding )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 747.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 747.5668 Tm [(the compatibility of specific regimens. )18.1(The running of MCBs )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 736.0668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 736.0668 Tm (alongside intravenous fluids is unlicensed, so this data is only )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 724.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 724.5668 Tm (available upon individual request.)Tj ET EMC /P <>BDC BT 8 0 0 8 434.6974 724.5668 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.0541 707.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 707.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 707.3975 Tm (As the regimens containing multiple infusions can become very )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 695.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 695.8975 Tm [(complex \(e.g. dif)18.1(ferent MCBs and intravenous fluids on dif)18.1(ferent )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 684.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 684.3975 Tm (days\), a HPS weekly diary of their regimen may give clarity to the )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 672.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 672.8975 Tm (patient/carers, and consideration is required about who is managing)Tj ET EMC /P <>BDC BT 8 0 0 8 556.5372 672.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 661.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 661.3975 Tm [(the patient)18.1(s HPS regimen. Where possible, all patients should be )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 649.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 649.8975 Tm (encouraged to train to be self-caring, or have a carer nominated to )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 638.3975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 638.3975 Tm [(train. )18.1(This may depend upon who has the best manual dexterity)74.2(, )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 626.8975 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 626.8975 Tm (know-how and strength to break the seals on an MCB to allow )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 615.3976 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 615.3976 Tm (mixing prior to an infusion. Care must be taken if using electrolyte )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 603.8976 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 603.8976 Tm (free and electrolyte containing MCBs. It must be ensured that )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 592.3976 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 592.3976 Tm [(patient/carers can recognise the dif)18.1(ference between the two )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 580.8976 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 580.8976 Tm (\(visual aids may help\). )Tj ET EMC /P <>BDC BT 8 0 0 8 398.2013 580.8976 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 563.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 563.7282 Tm (Not all pumps on the Home Parenteral Nutrition Framework have )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 552.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 552.2282 Tm (multi-spike giving sets that permit more than one infusion to be )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 540.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 540.7282 Tm (given at the same time, so it may be necessary to switch the pump )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 529.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 529.2282 Tm (the patient uses. Other options for multiple infusions to run )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 517.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 517.7282 Tm (concurrently include:)Tj ET EMC /P <>BDC BT 8 0 0 8 389.7638 517.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 506.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 506.2282 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 322.0619 506.2282 Tm (Using a double lumen catheter with 2 pumps)Tj ET EMC /P <>BDC BT 8 0 0 8 479.9292 506.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 494.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 494.7282 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 322.0619 494.7282 Tm (Adding a double lumen IV extension to a single lumen catheter )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 483.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 322.0619 483.2282 Tm (with 2 pumps)Tj ET EMC /P <>BDC BT 8 0 0 8 369.1949 483.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 471.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 471.7282 Tm ()Tj ET EMC /P <>BDC BT 8 0 0 8 322.0619 471.7282 Tm (Using a dual channel pump with the infusions being attached to )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 460.2282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 322.0619 460.2282 Tm (either a double lumen device, or a single lumen device with a )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 448.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 322.0619 448.7282 Tm (double lumen IV extension set added.)Tj ET EMC /P <>BDC BT 8 0 0 8 455.933 448.7282 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.0541 431.5589 Tm (8.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 314.17 431.5589 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 316.3927 431.5589 Tm (Formulation request templates are available for all forms of HPS )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 420.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 420.0589 Tm (regimens and should be used to ensure standardisation of practice. )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 408.5589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 408.5589 Tm (Advice on how to correctly fill out these requests is available in the )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 397.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 397.0589 Tm [(suggested reading below)55.2(. )]TJ ET EMC /P <>BDC BT 8 0 0 8 411.5724 397.0589 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 305.0541 379.8897 Tm (9.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 314.17 379.8897 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 8 0 0 8 316.3927 379.8897 Tm [(All patients should have a supply of buf)18.1(fer bags and/or intravenous )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 368.3897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 368.3897 Tm [(fluids available at home for use in emergency situations. )18.1(The stock )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 356.8896 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 356.8896 Tm [(of buf)18.1(fer bags should be reviewed every time there is a change to )]TJ ET EMC /P <>BDC BT 8 0 0 8 314.17 345.3897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 345.3897 Tm (the HPS regimen. Patients should be counselled on when and )Tj ET EMC /P <>BDC BT 8 0 0 8 314.17 333.8897 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 316.3927 333.8897 Tm (how to use these and be provided with written instructions. )Tj ET EMC Q endstream endobj 132 0 obj <>/XObject<>/ExtGState<>>> endobj 6 0 obj <> endobj 5 0 obj <> endobj 134 0 obj <>stream Adobed         #"""#''''''''''     !! !!''''''''''Z""  s!1AQa"q2B#R3b$r%C4Scs5D'6Tdt& EFVU(eufv7GWgw8HXhx)9IYiy*:JZjzm!1AQa"q2#BRbr3$4CS%cs5DT &6E'dtU7()󄔤euFVfvGWgw8HXhx9IYiy*:JZjz? a8թ8S@z@}x9$pT7ڥS?vlٛ؏g0hcL2׀1ٳZE~\[%>39>!V3ǖwwl乔i9)ӿ+?0@ V,MB 8#tTQTbi]^.NˏU<'͞X{K!er$v7 C$OԽ<Bf{;e_f?sp1k8d{u[TavhË?iAuqnuByMw:Y`)/1K004!iF}4i~,kM Ȟ`}V}gYw9TQce9[ڽ΋#'͏q\v&I8P:mw.-E #E|wgFr2"I>g6lٳfȫf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͛6lثf͋Zmn"TŜHۉG2礿.ð%ck۠!AN'SOfj-p)4 DZ;ٚ-FO\Y!2CzC|fny&-%}:pO¸[q y0vVbr~0*ϺiIBkv>h:zkv&{եfKKWh.2 q>`Ȏxf3)/8㇔S $ ToR(O|!iTy['+7G=)O~b{<[ep-_*Pv*~y˳`OFYc7hbxuG9O$L%d8d*6j6lٳdٳf͛6lUٳf͛6lUٳf͛6lUٳf͛>U\ٳf͛(uvlٲd~m>H.Xਪ/O>"_ffY.wWJ)mٛN$Ҽ;I,^Iff5,I9{ 7M@C|q>Sc0^mJ][[kveTtHl;g˓,,s&R#̒ylٳf͛+Wf͛6lٱWf͛6ls*7?Uto\P;i_DOpϒ8cYaG#r͛, 6.K6H FFUsWq>^p37S=#Gt?->Zc?wC$݉?qzCy +YiLgH0heL|a58`|ϪϬ3;>q f˗&\˖Fs))JG'$f͛6lZ6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6lٳf͊6l;GQմnqJ T; 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