Question

Case: Patient is 56 years old white female diagnosed with abdominal tumor completely obstructing her jejunum. The dietitian suggested to initiate TPN.

Wt: 45kg, Ht: 168cm    (30Kcal/kg, protein 1g/kg)

Please calculate the prescription for TPN using: IFFE 250ml of 20%, 8.5% AA (8.5g/100ml), 30% dextrose (30g/100ml)

Estimated needs: ____________Kcal ____________Protein

Fat emulsion IVFE: ________g, _________Kcal, _________ml                           

Amino Acids : ________g, _________Kcal, _________ml                                  

Dextrose: ________g, _________Kcal, _________ml                                        

Total TPN volume: _________________ml                                                       

Rate per hour for 24 hours : ___________ml/hr                                               

List three indications for initiating TPN:                                    

1.

2.

3.

List one contraindication for initializing TPN:                             

What is 3 in one?                                                                     

What do you have to always add to TPN:

Answer 1

The prescription for TPN using: IFFE 250ml of 20%, 8.5% AA (8.5g/100ml), 30% dextrose (30g/100ml)

Estimated needs: ____229________Kcal approx

__36grams__________Protein

Fat emulsion IVFE: __2300______g, _______904_Kcal, ____678____ml

TOTAL TPN VALUE-83 ml/hr

Total parenteral nutrition (TPN)

It is the measurement of all daily nutritional requirements. It can be used in the hospital or at home.

INDICATIONS FOR INITIATING TPN

• Some stages of ulcerative colitis
• Bowel obstruction
• Short bowel syndrome due to surgery

  

Dextrose: __3.4______g, _________Kcal, _________ml                                        

Total TPN volume: _____83____________ml / hr