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memorial hospital -- are in short supply of t-p-n.. the formula used to feed patients through a tube. its made in puerto rico. since hurricane maria devastated the island -- the supply has stopped. emily noonan tells us what's being done to address the shortage. ((pkg)) " total parenteral nutrition -- or t-p-n for short -- is composed of multiple components including amino acids. and that's where the shortage is -- it's a key component of the formula. curtis haas, director of pharmaceutical says tpn is critically important for neo- natel icu patients " "dealing with th small bag issues is huge we use hundreds of them a day and we don't have them or we have more limited supply than we normally would he says these patients have a short time frame when they are born in which thier nutritional needs must be met it can be the difference between life or death inorder fill the need they have been working with multiple other suppliers to make alternatives we are looking at what other products are available some of these are what we call premixed tpn products which are very good options for patients who have basic needs or standardize needs: the problem with this is that the tpn's they use are custom made for each patient-if they are premixed they will only work for some patients however " "by using more of th premixed product we can reserve some amino acids for the patients with a compromise needs:30 he says they have also looked at changing the way some drugs are administered to reduce the dependency on the small bags emily noonan " "strong says at th time there is no concrete time frame for getting their supply back from puerto rico however they anticipate this will go on for several months ((john 1 sh)) strong says they will continue to



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