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Instructions: give 10% lipid emulsion at a rate of 40-60 ml/hr
(1-1.5 L/week) as 2-3 500 ml bottles;
Compenent
Peripheral
Standard
@trenal[Renal
Hepatic
Cardiac
Range
Volume
1000
1000
750
1000
Glucose (g)
100
250
350
350
350
Non Prot kcal
170
850
1190
1190
Protein (g)
27.5
42.5
12.7-27
40
42.5
kcal/N ratio
308:1
154:1
233:1
233:1
215:1
Essen. AA (g)
10.4
20.9
26.6
22
20.9
BCAA (g)
4.8
9.6
10.4
14.2
9.6
AAA (g)
1.6
3.1
5.4
0.8
3.1
NEAA (g)
10.2
20.4
0.1
19.5
20.4
Na (meq)
50
50
50
3.6
(0-150)
K (meq)
20
40
40
50
(0-80)
Cl
25
25
25
25
17
(0-150)
Acetate
25
25
25
25
30
(45-220)
PO4 (mol)
10
15
15
15
(0-21)
Mg (meq)
4
10
10
10
(0-15)
Vitamins (ml)
10
10ular, is drastically impaired in the final stages
of critical illness.
Ingredient
Patient Wt:
< 10 kg
10-30 kg
> 30 kg
Dextrose
- 3.4 kcal/gm
5-30%
5-30%
150-300 kcal/6.3 gm
- max peripheral 12.5%
of protein
Amino Acids
- 4 kcal/gm
2.5 gm/kg/day
1.5g/k/d
1-1.5 g/k/d
Na
2-3 mE/kg/day
20-150 mE/d
60-150 mE/d
K
1-3 mE/kg/day
20-240 mE/d
90-240 mEq/d
Cl
Phos
1-1.5 mM/k/d
30-50 mM/day
Ca
2-3 gm/day
Mg
8-24 mE/day
Alb
25 gm/day
Original Text by Clifford R. Wheeless, III, MD.