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DOCTOR 'S ORDERS Adult Parenteral Nutrition Daily Order Form ADDRESSOGRAPH FOR PHARMACY USE ONLY Bag# Height cm. Admission Weight kg. Ideal Body Weight kg. BMI All orders need to be completed daily.
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3kg FAQ
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TPN is used when all or part of a person's digestive system does not work. A person may need TPN because of a gastrointestinal (GI) disorder that severely limits the ability of their digestive tract. A person may not be able to swallow food, move the food through the digestive system, or absorb nutrients from the food.
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An Example of Calculating Macronutrients for Parenteral Nutrition Proteins: 1.5-2 g/kg (based on wounds) 1.5*(50 kg) – 2*(50 kg) = 75 - 100 g protein/day. ... Fats: 250 mL bag of lipids/day * 2 kcal/mL = 500 kcal/day from fat. Carbohydrates: 1500 kcal/day – kcal protein – kcal fats = kcal of dextrose needed.
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To calculate this, you will multiply your patient's estimated calorie needs by 25%, then divide by 10 to determine the number of grams needed. (Intravenous lipids provide 10 calories per gram, not nine.) All remaining calories in the TPN will be provided by dextrose.
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TPN requires water (30 to 40 mL/kg/day), energy (30 to 35 kcal/kg/day, depending on energy expenditure; up to 45 kcal/kg/day for critically ill patients), amino acids (1.0 to 2.0 g/kg/day, depending on the degree of catabolism), essential fatty acids, vitamins, and minerals (see table Basic Adult Daily Requirements for ...
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Most TPNs infuse at a rate of 50-75 mL/hr. If additional fluid is required, physicians should order a maintenance fluid in addition to TPN.
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TPN requires water (30 to 40 mL/kg/day), energy (30 to 35 kcal/kg/day, depending on energy expenditure; up to 45 kcal/kg/day for critically ill patients), amino acids (1.0 to 2.0 g/kg/day, depending on the degree of catabolism), essential fatty acids, vitamins, and minerals (see table Basic Adult Daily Requirements for ...
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Parenteral nutrition is the intravenous administration of nutrition outside of the gastrointestinal tract. Total parenteral nutrition (TPN) is when the IV administered nutrition is the only source of nutrition the patient is receiving.
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Patients receiving TPN at home generally infuse at night. If the infusion rate is 200–300 mL per hour, however, patients often have to use the restroom 2–3 times during the night, so their sleep is frequently interrupted.
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