Case: Patient is 56 years old white female diagnosed with abdominal tumor comple
ID: 301360 • Letter: C
Question
Case: Patient is 56 years old white female diagnosed with abdominal tumor completely obstructing her jejunum. The dietitian suggested to initiate TPN.
Wt: 45kg, Ht: 168cm (30Kcal/kg, protein 1g/kg)
Please calculate the prescription for TPN using: IFFE 250ml of 20%, 8.5% AA (8.5g/100ml), 30% dextrose (30g/100ml)
Estimated needs: ____________Kcal ____________Protein
Fat emulsion IVFE: ________g, _________Kcal, _________ml
Amino Acids : ________g, _________Kcal, _________ml
Dextrose: ________g, _________Kcal, _________ml
Total TPN volume: _________________ml
Rate per hour for 24 hours : ___________ml/hr
List three indications for initiating TPN:
1.
2.
3.
List one contraindication for initializing TPN:
What is 3 in one?
What do you have to always add to TPN:
Explanation / Answer
The prescription for TPN using: IFFE 250ml of 20%, 8.5% AA (8.5g/100ml), 30% dextrose (30g/100ml)
Estimated needs: ____229________Kcal approx
__36grams__________Protein
Fat emulsion IVFE: __2300______g, _______904_Kcal, ____678____ml
TOTAL TPN VALUE-83 ml/hr
Total parenteral nutrition (TPN)
It is the measurement of all daily nutritional requirements. It can be used in the hospital or at home.
INDICATIONS FOR INITIATING TPN
Dextrose: __3.4______g, _________Kcal, _________ml
Total TPN volume: _____83____________ml / hr