Basic Adult Requirement For Total Parenteral Nutrition

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BASIC ADULT REQUIREMENT FOR TOTAL PARENTERAL NUTRITION T.P.N requires water(30 to40ml/kg day),energy(3060 kcal/kgday depending on energy expenditure),amino acids (1-2.0/kgday depending on the degree of catabolism),essential fatty acids,vitamins and minerals. Children who need T.P.N may have different fluid requirements and need more energy(120kcal/kgday) and aminoacids(2.5 to 3.5 g/kgday) Basic adult daily requirement for total parenteral nutrition is given in table 01 (Source;nutritional support Merck manual) nutrient

amount

Water kg body weight/day Energy;medical patient Post operative patient Hypercatabolic patient Aminoacids kgbody wt/day Medical patient Postoperative patient Hypercatabolic patient minerals Acetate/gluconate calcium chloride copper chromium iodine magnesium phosparous manganese Potassium selenium sodium

30;40ml 30 kcal 30-45 kcal 45-60 kcal 1g 2g 3g 90meq 15meq 130meq 1.5meq 15meq 120 mcg 20meq 300mg 2mg 100meq 100mcg 100meq 1

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zinc

5mg

vitamins Ascorbic acid biotin cobalamin Folic acid niacin Pantothenic acid pyridoxine Riboflavin thiamin Vitamin A Vitamin D Vitamin E VitaminK

100mg 60mcg 5mcg 400mcg 40mg 15mg 4mg 3.6 mg 3mg 4000IU 400IU 15mg 200mcg

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