Fluid, Electrolyte And Nutrition

Question 1

Caloric needs in kcal/kg at all ages

Answer 1

1500-2000g: 90-120
2000-2500g: 90-120
Term neonate: 100
Infant 80-100
Child 70-90
Adolescent 40-60

Question 2

1000g baby Tpn initial gir, aa and lipid

Answer 2

GIR- 4-6
Trophamine 3g/kg/day
Lipid- 1 g/kg/day

Question 3

Most common type of tpn line infection

• overall
• short gut

Answer 3

• staph a

- gram neg also common because of bacterial overgrowth and translocation

Question 4

Diagnosis of pn associated liver disease

Answer 4

Direct bill > 2 for more than 2 weeks with no other cause

Question 5

Changes to tpn if liver disease

Answer 5

Decrease lipid and Copper and manganese

Question 6

Initial GIR for neonate, goal GIR, how fast can you increase

Answer 6

4-6, 12-14, by 1-2 every day

Question 7

When is carnitine used

Answer 7

1. carnitine deficiency
2. increased TG
3. cholestatic/lipid restricted

Question 8

copious bilious fluid is suctioned from his stomach. Which fluid is best to replace ongoing losses?

Answer 8

ns
Bile - 120-140 meq/L sodium
5-15 K
80-120 Cl

Question 9

G tube output replacement fluid

Answer 9

1/2 NS

Question 10

dehydration happens faster/slower in neonates vs older children

Answer 10

faster (4-6 hours) because of higher insensible water lossed