Total Parenteral Nutrition
(from J Kent Garman, MD)

Home-Amb-Card-Crit-Neuro-OB-Orth-Pain-Ped-Reg-Tran-Vasc-Misc



 
25-35 kcal/kg/day (non-protein calories)
based on ideal body weight (or IBW + 25%XS)
Higher needs if septic, burn, etc.
Dextrose (CHO) 3.4 kcal/gm
Base solution is D70
D10 (10%) = 340 kcal/L
D20 = 680
D25 = 850
D30 = 1020
D35 = 1190
D40 = 1360
Lipids (fat) 9.0 kcal/gm
10% = 1.1 kcal/ml
20% = 2.0 kcal/ml
Propofol is 10% lipids
Amino Acids (AA) 4.0 kcal/gm, not included in caloric requirements
Base solution is AA10
AA4 (4%) = 40 gm protein/L
AA5 = 50 
AA6 = 60
AA7 = 70
Nitrogen Balance: (grams nitrogen)
(protein in/6.25) - (24hr UUN) - 4