A
10-year-old female with idiopathic acute pancreatitis has been placed on complete bowel rest by the surgeons. You are consulted for TPN management.
premorbid weight - 38 kg
current weight - 35 kg
lytes,
LFTs
,
TGLs
, blood sugars - all normal
total protein and albumin are both low - 5.4/2.2
T
he questions to ask as you write the TPN orders for this patient are:
how do you determine the
TPN volume
?
how much
protein
do you want to give?
how many
NPCs
do you want to give?
how many NPCs will you give the
first day
?
how will you divide the
substrates (CHO and lipid)
?
what
micronutrients
will you give
are there any
additives
you want to order?
what
monitoring parameters
are needed?
are there any
additional orders
desired?
the final
filled-out form
will look like this