TPN Flashcards
(46 cards)
Protein kcal
4kcal/g
Protein mOsm
100 mOsm/%
%AA * 100 = mOsm
Dextrose kcal
3.4 kcal/g
Dextrose mOsm
50 mOsm/%
%D * 50 = mOsm
Dextrose peripheral % limit
10-12.5%
Lipid max infusion rate - adult
0.11 g/kg/h
Lipid max infusion rate - peds
0.15 g/kg/h
Intralipid and SMOF conc
2 kcal/mL
Omegaven conc
1.1 kcal/mL
Glucose infusion rate limit
4-5 mg/kg/min
Neonate fluid goal
start 60-80 ml/kg/d
titrate to 120-150 ml/kg/d
Neonate energy goal
80-120kcal/kg/day
Ped fluid goal
4:2:1 kg based ml/hg/hr
When to start TPN in adults - stable
Wait 7 days
When to start TPN in adults - nutritionally at risk
within 3-5 days
When to start TPN in adults with mod-severe malnutrition and EN not feasible
start ASAP
already has signs of malnutrition
When to start TPN in peds with self limiting illness
delay up to 7 days
When to start TPN in peds - stable
within 4-5 days
When to start TPN in infants- stable
within 1-3 days
When to start TPN in VLBW neonates?
asap after birth
When to start TPN in preterm or critically ill neonates?
when feasibly possible
Neonate definition
first month of life
Infant definition
first year of life (1month — <12 months)
Child definition
1 to 10 years