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Basic Adult Daily Requirements for Total Parenteral Nutrition Basic TPN solutions are prepared using sterile techniques, usually in liter batches according to standard formulas. Normally, 2 L/day of the standard solution is needed. Solutions may be modified based on laboratory results, underlying disorders, hypermetabolism, or other factors. TPN goals for this sample patient: CHO cals Volume = mL (NOT on the 1st day) g protein + mL fat cals + mL + mL from other additives Total “minimal” volume = ~ mL/day For most patients, you can start on Day 1 with about half of the protein and non-protein-calorie goals.

• Keep TPN line inviolate, and if TPN interrupted for any reason, hang D10W at current TPN rate • Blood glucose monitoring every _____ hour(s) with sliding scale regular human insulin. • Sliding scale insulin: P and T protocol Individualized sliding scale (on separate page) Route SQ IV Optional orders. Feb 28,  · TPN Electrolytes (multiple electrolyte additive) is indicated for use as a supplement to nutritional solutions containing concentrated dextrose and amino acids delivered by central venous infusion, to help maintain electrolyte homeostasis in adult patients.

Standard amount in TPN is mEq/L (1/2 NS = 77mEq/L) Pharmacists will initiate TPN with standard Na unless physician and/or disease state requires Size: KB. Most adult patients will tolerate a L/day of PN. 2. Estimate the Patient’s Metabolic Needs Now you need to calculate the PN – which takes math, science, and .