Prescribing total parenteral nutrition

The caloric value of protein is approximately 4 kcal/g. [...]carbohydrates must supply about 70% of an individual's daily non-protein needs. Lipids are available in 10% or 20% concentrations in units of 50 mL; 50 mL of 10% lipid contains 50 kcal. [...]our hypothetical patient can simply receive...

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Veröffentlicht in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2003-09, Vol.19 (9), p.819-820
Hauptverfasser: Koss, Wega, Joshi, Neel
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Joshi, Neel
description The caloric value of protein is approximately 4 kcal/g. [...]carbohydrates must supply about 70% of an individual's daily non-protein needs. Lipids are available in 10% or 20% concentrations in units of 50 mL; 50 mL of 10% lipid contains 50 kcal. [...]our hypothetical patient can simply receive 84 mL of the 10% lipid emulsion in the TPN to make up the difference in caloric needs. When the recommended quantity of protein is administered, its contribution to the serum urea nitrogen is relatively minor (5 to 15 g/dL) compared with the level arising from the turnover of endogenous protein in a hypercatabolic patient (up to 200 g/dL). [...]dextrose and lipids delivered in TPN reduce endogenous protein turnover only if adequate exogenous protein is provided.
doi_str_mv 10.1016/S0899-9007(03)00102-3
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Carbohydrates
Diet
Drug Prescriptions
Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition
Formularies, Hospital
Humans
Intensive care medicine
Lipids
Medical sciences
Metabolism
Parenteral nutrition
Parenteral Nutrition, Total - methods
Prescriptions
Proteins
Urea
title Prescribing total parenteral nutrition
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