Parenteral Nutrition

Question 1

How to design PN

Answer 1

• Estimate energy needs, fluid needs, protein needs
• Get baseline labs,
• Start with D10 solution
• Start with IV lipid at lowest end of dose range, follow triglyceride levels when increasing dose.
  -Advance regimen to goal caloric and fat intake based on lab tests and other clinical evidence

Question 2

Protein TPN requirements

Answer 2

Weight 10-20kg: 1-2.5 g/kg
Weight >20 kg: 0.8-2 g/kg