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QUESTION 19 A pharmacist receives the following order for a hyperalimentation so

ID: 241334 • Letter: Q

Question

QUESTION 19 A pharmacist receives the following order for a hyperalimentation solution Strength Commercially Available 500 ml 500 ml Amino Acids 8.5% Dextrose 70% Amino Acids 8.5% Dextrose 70% Sodium Chloride Potassium Chloride Magnesium Sulfate 20 mEq NaCl 4 mEq/ml 15 mEq KCI 2 mEq/ml 8 mEq Magnesium Sulfate 4.08 mEqm 12 mEq Calcium Gluconate 0.465 mEq/m 23 mmol Potassium Phosphate 3 mmol/ml 10 ml MVI-12 10 ml vial 3 ml Trace Elements 3 ml vial Calcium Gluconate Potassium Phosphate Multi-Vitamins 12 Trace Elements How many kcal day would this patient receive if the flow rate of the TPN is 150m/hr? Assume 4 kcal/g provided by amino acids, 3.4 kcal/g provided by parenteral dextrose, and 9 kcal g provided by lipids.

Explanation / Answer

Flow Rate of TPN is 150ml/hr =3600kcal/day
Amino Acids 8.5% in 500 ml= 42.5g provided by amino acids
Dextrose70% in 500ml = 35.0g provided by dextrose
Lipids in 500ml= 45g provided by    lipids