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Breanda O’Day
10 October 2019
1. You are consulted to make recs for TPN for a 55 y.o. female (45
kgs). The current formula is 400mL 10% AA, 100mL 70%
dextrose, 200mL 20% lipid.
Estimated needs:
20-25 kcals/Kg = 900 –1125 kcal
1.2-1.5 gms protein/kg = 54 – 68 gms
25-30 mL/kg = 1125 – 1350 ml
Lipid
o 200 ml x .2= 40 gm
o 40 gm x 10 kcal = 400 kcal
New provision:
Gms of dextrose, kcals provided and mg/kg/min
o 121 ml x .70=85 gm
o 85 gm x 3.4 kcal = 289 kcal
o 85 gm / 45 kg / 1.44= 1.3 gm/kg/min
Estimated needs:
23-25 kcals/Kg = 1725-1875 kcal/d
1.3-1.5 gms protein/kg = 98-113 gm/d
25-30 mL/kg = 1875-2250 ml/d
Lipids:
o 475 ml x .20= 95 gm
o 95 gm x 10 kcal = 950 kcal
% lipids =51%
% dextrose = 28%