title: Copper and Zinc Deficiency in a Patient Receiving Long-Term Parenteral Nutrition During a Shortage of Parenteral Trace Element Products.
abstract: Drug shortages in the United States, including parenteral nutrition (PN) components, have been common in recent years and can adversely affect patient care. Here we report a case of copper and zinc deficiency in a patient receiving PN during a shortage of parenteral trace element products. The management of the patient's deficiencies, including the use of an imported parenteral multi-trace element product, is described.
authors.affiliation: Detroit Medical Center-Sinai-Grace Hospital, Detroit, Michigan.
authors.forename: Eric
authors.initials: E
authors.lastname: Palm
authors.affiliation: Department of Pharmacy, Harper University Hospital, Detroit, Michigan Wayne State University, Detroit, Michigan bdotson@dmc.org.
authors.forename: Bryan
authors.initials: B
authors.lastname: Dotson
mesh_terms: D003300:Copper / Q000172:deficiency* / Q000627:therapeutic use; D003677:Deficiency Diseases / Q000209:etiology / Q000517:prevention & control*; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D008875:Middle Aged; D010288:Parenteral Nutrition; D057947:Parenteral Nutrition Solutions / Q000737:chemistry*; D010289:Parenteral Nutrition, Total; D004364:Pharmaceutical Preparations / Q000600:supply & distribution*; D014131:Trace Elements / Q000172:deficiency* / Q000627:therapeutic use; D014481:United States; D015032:Zinc / Q000172:deficiency* / Q000627:therapeutic use
chemical_list: D057947:Parenteral Nutrition Solutions; D004364:Pharmaceutical Preparations; D014131:Trace Elements; D003300:Copper; D015032:Zinc
keywords: minerals/trace elements; nutrition; parenteral nutrition