The webpage is not working since JavaScript is not enabled. Most likely, you are viewing using Dropbox website or another limited browser environment.
Custom TPN
Clinimix
Wean TPN
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:
M
F
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?
No
Yes
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
Amino Acids 15%
Amino Acids 10%
Amino Acids 20%
mL
CHO
mg/kg/min
Dextrose 70%
Dextrose 50%
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:
Osmolite 1.5 Cal
Promote
TwoCal HN
Jevity 1.2 Cal
Jevity 1.5 Cal
Glucerna 1.2 Cal
Nepro with CARBSTEADY
Vital AF 1.2 Cal
Vital 1.5 Cal
Vital High Protein
Pivot 1.5 Cal
Kate Farms 1.4 Standard
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:
**
M
F
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?
No
Yes
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:
**
0
20
50
g/day
mL/day (Lipids)
Product:
**
Clinimix 8/14
Clinimix 5/15
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
Amino Acids 15%
Amino Acids 10%
Amino Acids 20%
CHO
mg/kg/min
Dextrose 70%
Dextrose 50%
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
Update
Reset
Print