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  1. The banana bag has been a long-standing treatment for vitamin and electrolyte deficiencies in patients with chronic alcohol use disorder admitted to the intensive care unit.
    www.pharmacytimes.com/view/whats-a-banana-bag
    www.pharmacytimes.com/view/whats-a-banana-bag
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    : Critical Care Medicine Flannery, Alexander H. PharmD, BCCCP, BCPS 1,2; Adkins, David A. MD, FCCP 3; Cook, Aaron M. PharmD, BCPS 1,2 Patients with a chronic alcohol use disorder presenting to the ICU may be deficient in important vitamins and electrolytes and are often prescribed a “banana bag” as a reflexive standard of therapy.
    The rationale behind ordering banana bags for these patients is relatively simple–alcoholics are likely to have nutritional deficiencies related to their dietary preferences for alcohol over nutrient-dense foods, putting them at risk for complications. Furthermore, the administration of fluids is conventionally believed to help speed up sobriety.
    Chronic AUD patients may be deficient in several vitamins, nutrients, and electrolytes. The banana bag may not provide enough vitamins and nutrients to treat severe deficiencies. Clinicians should treat patients based on their individual nutritional/vitamin needs and give higher doses of many vitamins and minerals in general.
    We’re all pretty familiar with the banana bag: intravenous (IV) fluids with the addition of thiamine, folic acid, multivitamins, and sometimes magnesium. Banana bags are commonly utilized in patients at risk for alcohol withdrawal symptoms or those who present to the emergency department (ED) acutely intoxicated.
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