The American Society for Parenteral and Enteral Nutrition (ASPEN) is a professional society of physicians, nurses, dietitians, pharmacists, other allied health professionals, and researchers. ASPEN envisions an environment in which every patient receives safe, efficacious, and high-quality patient care. ASPEN’s mission is to improve patient care by advancing the science and practice of clinical nutrition and metabolism. ASPEN has developed parenteral nutrition (PN) shortage considerations in order to assist its members and other clinicians in coping with PN shortages for their patients.
For the most up-to-date supply information, see these websites:
American Society of Health-System Pharmacists (ASHP), Drug Shortages Resource Center
Canada TW, Tajchman SK, Tucker AM, Ybarra JV, eds. The ASPEN Fluids, Electrolytes, and Acid-Base Disorders Handbook.
Silver Spring, MD: American Society for Parenteral and Enteral Nutrition. 2015.
Kraft MD. Phosphorus and calcium: A review for the adult nutrition support clinician. Nutr Clin Pract.
Langley G, Tajchman S. Fluids, electrolytes, and acid-base disorders. In: Mueller CM, ed. ASPEN Adult Nutrition Support Core Curriculum, 2nd ed.
Silver Spring, MD: American Society for Parenteral and Enteral Nutrition; 2012; 98-120.
Schmidt GL. Fluids and electrolytes. In: Corkins MR, ed. ASPEN Pediatric Nutrition Support Core Curriculum, 2nd ed.
Silver Spring, MD: American Society for Parenteral and Enteral Nutrition; 2015; 107-128.
These recommendations do not constitute medical or professional advice, and should not be taken as such. To the extent the information published herein may be used to assist in the care of patients, this is the result of the sole professional judgment of the attending health professional whose judgment is the primary component of quality medical care. The information presented herein is not a substitute for the exercise of such judgment by the health professional.
Revised by the ASPEN Clinical Practice Committee’s Nutrition Product Shortage Subcommittee: Steve Plogsted, PharmD, BCNSP, CNSC (Chair); Stephen C. Adams, MS, RPh, BCNSP; Karen Allen, MD; Heather B. Breen, MD, RD; M. Petrea Cober, PharmD, BCNSP; June Greaves, RD, CNSC, CD-N, LD, LDN; Kris M. Mogensen, MS, RD, LDN, CNSC; Amy Ralph, MS, RD, CNSC, CSO, CDN; Ceressa Ward, PharmD, BCPS, BCNSP; and Joe Ybarra, PharmD, BCNSP.
Approved by the ASPEN Clinical Practice Committee and the Board of Directors.
Questions regarding these recommendations should be directed to Beverly Holcombe,
PharmD, BCNSP, FASHP; Clinical Practice Specialist, ASPEN at