Hi
In the UK the nutrition team are able to prescribe what are commonly called ‘off the shelf’ bags. These are TPN bags that are stable at room temperature. The different components of the medication are separated into separate chambers in the bag and before using the internal seals are broken to mix the components together before infusing. It sounds more complicated than it actually is. These bags have a long shelf life (6 months +). Are these available to you? Also, the last time I checked, Royal Caribbean don’t have medical refrigeration to store the cold bags, therefore our only option is to take the off the shelf bags.
I hope this helps.
regards
ian.