T (Trace elements):
Supplement 12mg of zinc for every liter of fluid loss
from fistulas, ileostomy, intestinal drainages and diarrhea15.
If cholestasis is present, defined by an elevation
of direct billirubin equal or greater tan 2mg/dL the
administration of manganese and cooper containing
compounds should be stopped preventing toxicity.
Principal sources of Mn and Cu are intravenous trace
elements16’17’18.
Readjustment of vitamin C dose should be done in
those patients with renal failure in order to prevent
exacerbation of the renal damage. In the patient who