Standard TPN

For adults, standard TPN formulation contains 4.25% AA, 15% Dextrose + 20% Fat Emulsion- plus electrolytes, trace elements, vitamins, and additives. Caloric Distribution is 20% protein, 60% CHO and 20% fat. Concentrations may have to be increased with decreased rate and volume. See Alternate TPN.

For pediatric patients of age < 10 years, 3% AA and 20% Fat Emulsion are used. Dextrose % is calculated based on patient's weight. If weight is less than 10kg, 7.5% Dextrose is used, otherwise %Dextrose=4.45+0.27 x Weight.
Detroxe is increased from about 6mg/kg/min over 5 days, as tolerated, to about 12mg/kg/min. Fat is started at 0.5g/kg/day and increased over 5 days to a maximum of 4g/kg/day, as tolerated.

Total Energy Expenditure: (You may enter alternative TEE value.)

Kcals = kjoules

using Standard TPN :

Results are subject to clinical confirmation without responsibility by the University of Kanas Medical Center or its employees.

Nutritional Constituents and Rate of Infusion

Protein: gm=% Energy

Carbohydrate: gm=% Energy (% Dextrose)

Fat*: gm=% Energy

All-in-one Volume: ml or ml - (closest 100)

20% Fat Emulsion*: ml or ml - (closest 50)

Rate: ml/hr or ml/hr- (closest 5)

Calculated Calories*: kcal (Requirement: kcal)

* For pediatric patient age < 10, fat emulsion is started at 1/4 the amount required to meet complete caloric requirement, with increases as tolerated by serum triglycerides < 150mg/dl.

Protein:	gm=% Energy
Carbohydrate:	gm=% Energy (% Dextrose)
Fat*:	gm=% Energy
All-in-one Volume:	ml or ml - (closest 100)
20% Fat Emulsion*:	ml or ml - (closest 50)
Rate:	ml/hr or ml/hr- (closest 5)
Calculated Calories*:	kcal (Requirement: kcal)