Tpn - page 2

A patient asked me and I had no clue, how many calories are in a typical bag of TPN (approximatley 1500 to 2000ml)?... Read More

  1. by   chadash
    I mean whoopsey daisey....Those darn decimals.
  2. by   chadash
    Is this more like it?
    Typical solution is 15% Dextrose and an amino acid solution - a hypertonic, hyperosmolar solution.
    kcal per cc
    3.4kcal/gm D5W = 5gm/100ml
    D5W = 10 x 5 = 50gm dextrose 50gm x 3.4kcal = 175kcal/L
    D15W = 150gm dextrose 150gm x 3.4kcal = kcal/L x 3L/day = 1530 kcal
    Lipid solution - usually 250ml bottle of 10% fat emulsion given once daily continuous infusion, i.e., over 24 hours. Can be infused in the same IV line as the TPN, below the filter.
    1.1kcal/cc x 250ml = 275kcal/bottle
    Additive - electrolytes: Ca, Na, K, PO4; MVI and trace elements
    I bow to your greatness
  3. by   EricTAMUCC-BSN
    So they would be getting around 1,500 calories TPN and 20 calories Fat per day. YOU are a genius Chadash! Thanks.

    eric
  4. by   chadash
    Quote from EricTAMUCC-BSN
    So they would be getting around 1,500 calories TPN and 20 calories Fat per day. YOU are a genius Chadash! Thanks.

    eric
    Not really, you did the math! I was still struggling the that darn calculator....
  5. by   EricTAMUCC-BSN
    Tough competition for cocacola with only a mear 0.4 calorie per ml





    Quote from caroladybelle
    The highest calorie content that I have seen on ensure is 1 to 1.5 calories per cc/ml, equaling approximately 240-360 calories per can.

    Where did you find this brand with the 95 calories per cc, may I ask?
  6. by   EricTAMUCC-BSN
    so modest too, i think im in love!





    Quote from chadash
    Not really, you did the math! I was still struggling the that darn calculator....
  7. by   chadash
    Kind words come through doors you didnt know you left open!

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