TPN Calculations
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Date:
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Reason for formula
change:
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Age:
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yrs
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IBW:
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kg
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Protein Considerations:
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Height:
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in
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BMI:
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m2
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BMI < 30:
1.2 - 2 gm/kg ABW
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Gender:
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MSJ:
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kcal
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BMI 30-40: 2
gm/kg IBW
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Actual Wt:
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kg TBW
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BMI > 40:
Up to 2.5 gm/kg IBW
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Wt for Protein:
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kg
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Moderate
Stress & Oncology: 1.5 - 2 Gm/kg
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Critically ill?
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Vent, Severe Sepsis, MOF?
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Metabolically Stressed or Sepsis: 1.8 - 2 Gm/kg
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kcal/day
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Acute Renal
Failure: 0.8 - 1.2 gm/kg IBW
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Hemodialysis
Patients: 1.2-1.5 Gm/kg IBW
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CRRT
Patients: 1.5 Gm/kg up to 2.5 Gm/kg IBW
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Goal Calories:
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kcal/day
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kcal/kg (ABW)
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Cirrhosis:
1.2 - 1.8 Gm/kg (even if elevated ammonia)
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kcal/kg (IBW)
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Protein Goal:
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gm/kg
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Fat:
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%NP
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Initial CHO:
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mg/kg/min
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Diprivan:
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ml/hr
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Initial Formula:
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Gm
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kcal/D
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Required mL
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Protein (Clinimix)
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mL Clinimix
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CHO (Clinimix)
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mg/kg/min
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Fat
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Gm/kg TBW
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mL
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Diprivan (ml/hr):
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Electrolytes:
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150
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mL
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Total:
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kcal/D
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Approximate Volume:
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mL
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kcal/kg (TBW)
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Approximate Rate:
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mL/hour
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kcal/kg (IBW)
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Max Fluid Rec:
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Date Changed:
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Goal Formula:
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Gm
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kcal/D
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Required mL
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Protein (Clinimix)
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mL Clinimix
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CHO (Clinimix)
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CHO (Extra)
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mL
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CHO (Total)
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mg/kg/min
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Fat
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Gm/kg TBW
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mL
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Diprivan (ml/hr):
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Electrolytes:
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150
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mL
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Total:
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kcal/D
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Approximate Volume:
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mL
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kcal/kg (TBW)
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Approximate Rate:
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mL/hour
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kcal/kg (IBW)
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Max Fluid Rec:
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Date Changed:
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