TPN Calculations Date:
Reason for formula change:
Age: yrs IBW: kg Protein Considerations:
Height: in BMI: m2 BMI < 30: 1.2 - 2 gm/kg ABW
Gender:
MSJ: kcal BMI 30-40: 2 gm/kg IBW
Actual Wt: kg TBW
BMI > 40: Up to 2.5 gm/kg IBW
Wt for Protein: kg
Moderate Stress & Oncology: 1.5 - 2 Gm/kg
Critically ill?
Vent, Severe Sepsis, MOF? Metabolically Stressed or Sepsis: 1.8 - 2 Gm/kg
kcal/day
Acute Renal Failure: 0.8 - 1.2 gm/kg IBW
Hemodialysis Patients: 1.2-1.5 Gm/kg IBW
CRRT Patients: 1.5 Gm/kg up to 2.5 Gm/kg IBW
Goal Calories: kcal/day kcal/kg (ABW) Cirrhosis: 1.2 - 1.8 Gm/kg (even if elevated ammonia)
kcal/kg (IBW) Critically ill Considerations:
Percent of Goal: kcal/day
After 5-7 days, consider increasing kcal to 25 kcal/kg (BMI < 30) or MSJ x 1.3 (BMI > 30).
Starting Formula:
Gm kcal/D
Required mL
Protein
mL
CHO mg/kg/min
mL
Fat %NP
mL
Diprivan (ml/hr):
Electrolytes: 150 mL
Total: kcal/D
Minimum Volume: mL
kcal/kg (TBW)
Minimum Rate: mL/hour
kcal/kg (IBW)
Your Rate: mL/hour
Your Volume: mL
CHO/Fat Advancements:
Gm kcal/D
Protein Date advanced:
CHO(75%) mg/kg/min Minimum Rate: mL/hr
Fat(75%) %NP (incl. Diprivan) Your Rate: mL/hr
Total (with Dip.)
kcal/day (75% goal) Your Volume: mL
Protein Date advanced:
CHO(100%) mg/kg/min Minimum Rate: mL/hr
Fat(100%) %NP (incl. Diprivan) Your Rate: mL/hr
Total (with Dip.)
kcal/day (100% goal) Your Volume: mL
TF Adjusted Formula:
Gm kcal/D
Protein Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP (incl. Diprivan) Your Rate: mL/hr
Diprivan: kcal/D
TF: kcal/D
TF Rate: ml/hr Other: kcal/ml
Total: kcal/D
TF Type:
kcal/ml
Clinimix Calculations Date:
Age: yrs IBW: kg
Clinimix E Volume CHO kcal Total Protein Fat
Protein Considerations:
Height: in BMI: m2
Product mg/kg/min % goal kcal g/kg % NP
BMI < 30: 1.2 - 2 gm/kg ABW
Gender:
MSJ: kcal
8/14 500 mL
BMI 30-40: 2 gm/kg IBW
Actual Wt: kg TBW
5/15 500 mL
BMI > 40: Up to 2.5 gm/kg IBW
Wt for Protein: kg
8/14 1000 mL
Moderate Stress & Oncology: 1.5 - 2 Gm/kg
Critically ill?
Vent, Severe Sepsis, MOF?
5/15 1000 mL
Metabolically Stressed or Sepsis: 1.8 - 2 Gm/kg
kcal/day
8/14 1500 mL
Acute Renal Failure: 0.8 - 1.2 gm/kg IBW
5/15 1500 mL
Hemodialysis Patients: 1.2-1.5 Gm/kg IBW
8/14 2000 mL
CRRT Patients: 1.5 Gm/kg up to 2.5 Gm/kg IBW
Goal Calories: kcal/day kcal/kg (ABW)
5/15 2000 mL
Cirrhosis: 1.2 - 1.8 Gm/kg (even if elevated ammonia)
kcal/kg (IBW)
Fat:
g/day mL/day (Lipids)
Product:
mL/day (Clinimix)
mL/day (Total)
Max Fluid Rec:
Diprivan: ml/hr
Providing                            
Macronutrients:
Electrolytes:
Gm kcal/D
Sodium: mEq/day
Protein:
Potassium: mEq/day
CHO: mg/kg/min
Magnesium: mEq/day
Fat: Gm/kg TBW
Calcium: mEq/day
Diprivan (ml/hr):
Phosphorus: mmol/day
Total: kcal/D
Chloride: mEq/day
kcal/kg (TBW)
Acetate: mEq/day
kcal/kg (IBW)
Includes Clinimix content + boluses (if any).
Electrolyte Boluses
Potassium Chloride: mEq 1 mEq = 1 mEq chloride
Sodium Phosphate: mmol 3 mmol = 4 mEq sodium
Potassium Phosphate: mmol 3 mmol = 4.4 mEq potassium
Magnesium Sulfate: g 1 g = 8.12 mEq magnesium
Calcium Gluconate: g 1 g = 4.65 mEq calcium
Wean TPN Calculations   Date:          
Reason for formula change:
Actual Wt: kg
Wt for Protein: kg
Current Formula:
Grams kcal/D
Protein gm/kg
CHO mg/kg/min
Fat %NP
kcal/D
% of Goal: %
Grams kcal/D
Protein gm/kg Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP Your Rate: mL/hr
kcal/D
Grams kcal/D
75% Protein gm/kg Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP Your Rate: mL/hr
kcal/D
Grams kcal/D
50% Protein gm/kg Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP Your Rate: mL/hr
kcal/D