Trace Elements

Recommended Dose of Neotrace-4 = 0.2 mL/kg/day
Each mL of Neotrace provides 
 
Neotrace Composition
Element Per cc Requirement
Manganese 25 mcg 1 mcg/kg
Copper 0.1 mg 0.02 mg/kg
Chromium 0.85 0.20 mcg/kg
Zinc 150 mcg 150-400 mcg/kg
 
Discontinue Neotrace during cholestasis or renal impairment in order to avoid micronutrient toxicity and retention 
 
Excretion Mechanisms
Manganese and Copper Biliary
Chromium and Zinc Renal
*Additional zinc needs to be ordered when Neotrace is discontinued for cholestasis.
If on long term parenteral nutrition (more than 30 days) without enteral feeds, selenium (2 mcg/kg/day) and molybdenum (0.25 mcg/kg/day) will need to be supplemented.  This supplementation is rare.


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