The usual monitoring parameters to order are:

  • baseline labs - CMP, P, Mg, TGL
  • electrolytes, BUN, creatinine daily times 3 days then weekly
  • one-touch sugars every 6 hours for 36 hours or until stable then daily in AM
  • Ca, Mg, P, TGL daily for 3 days then weekly
  • LFTs and prealbumin weekly
  • serum albumin initially then monthly
  • daily weights and I/O daily


Remember to discontinue the current IV fluids when the TPN is hung. If not already done, order an initial assessment by the pediatric dietitian. If planning home TPN, consult the parenteral nutrition team.