1. DH is admitted with end-stage liver disease and severe ascites requiring paracentesis while in the hospital. He has been started on PN therapy for his poor nutritional status. You would like to give DH 630 kcals of lipids/day. Using a 20% stock solution, how many mL do you need? Using a 10% stock solution, how many mL do you need? Which product would you choose?
2. A patient is receiving a 21% Dextrose, 6% Amino Acid TPN in a total volume of 1900mL. How many kcals is this patient receiving through protein and dextrose?
a. The same patient is receiving 10% lipids, 400mL daily. How many calories are from the lipids?
b. How many TOTAL calories is the patient receiving? (protein + carbs + lipid)
3. A 75kg patient is receiving 350g of dextrose daily in a TPN. The TPN is run over a 24 hour period.
- Calculate the mg/kg/min. Is this below the recommended maximum?
List the indications for parenteral nutrition therapy