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    جدول لحساب TPN

    شاطر

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    تاريخ التسجيل : 22/03/2010
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    جدول لحساب TPN

    مُساهمة من طرف admin في الخميس يناير 24, 2013 1:29 am

    Rate Infuse at ml/hr
    Parenteral Nutrition Formulation (Choose one formula )
    Central Base Formula

    Dextrose 250gm/l 100gm/l | 150gm/l | 200gm/l | 300gm/l
    Amino Acids 43gm/l 25gm/l | 60gm/l | 75gm/l
    Fat 20gm/l None | 25gm/l | 30gm/l
    Peripheral Base Formula

    Dextrose 75gm/l 50gm/l
    Amino Acids 25gm/l
    Fat 20gm/l None | 25gm/l | 30gm/l
    Electrolytes

    (per Liter)

    Standard Electrolyte Additives (per Liter)

    Individual Electrolyte Additives (per Liter)

    Sodium (Na) 40mEq
    NaCl mEq
    MgSO4 mEq
    Potassium (K) 40mEq
    NaAc mEq
    CaGlu mEq
    Calcium (Ca) 5mEq
    NaPhos mM
    Phosphorus (Phos) 12mM
    KCl mEq
    Magnesium (Mag) 8mEq
    KAc mEq
    Chloride (Cl) 43mEq
    KPhos mM
    Acetate (Ac) 63mEq
    Reg Human Insulin units/L
    Additives

    (per Day)

    MTE-4 3ml

    MTE-5 3ml MVI-12 10ml
    Vit K 0.5mg Vit K 3mg Thiamine 100mg
    Famotidine 40mg Famotidine 20mg Folic Acid 1mg
    IV Fat Emulsion
    20% 500ml to infuse over 12 hours at 42ml/hr.

    Start at 9am every M | M&F | MWF | QOD | M-F



    Click "Go" button to check compatibility of this TPN by following the guildeline questions (right) and calculate the Amount-per-Liter and Amount-per-Day of this TPN (below).

    Calcium/Phosphorus Compatibility Confirmation.

    1- Does TPN have fat in the order?
    If no, plot on appropriate graph to check Ca/Phos compatibility.
    If yes, continue the next question.

    2-Are Dextrose=<250gm/L and AA=<60gm/L?
    If no, call MD to reformulate TPN.
    If yes, continue the next question.

    3-Is Ca=<15mEq/L? Is Phos=<15mM/L? Is Mg=<15mEq/L?
    If no, call MD to reformulate TPN.
    If yes, plot on appropriate graph to check Ca/Phos compatibility.

    4-For Peripheral TPN, not need to graph if no more than Phos 12mM/L and Ca Gluconate 5mEq/L?
    If no, call MD to reformulate TPN.
    If yes, ok to compound this TPN.



    Amount per Liter (3-in-1 Compatibility)
    Amount per Day (Usual daily needs)
    Dextrose gm/Liter (=< 250gm) gm/Day MTE-4 mL/Day
    Amino Acids gm/Liter (=< 60gm) gm/Day MTE-5 mL/Day
    Fat gm/Liter gm/Day * MVI-12 mL/Day
    Calories kcal/Liter kcal/Day * Vit K mL/Day
    Na mEq/Liter (=< 150mEq) mEq/Day (60-150mEq) Thiamine mg/Day
    K mEq/Liter (=< 100mEq) mEq/Day (90-240mEq) Folic Acid mg/Day
    Ca mEq/Liter (=< 15mEq) mEq/Day (5-15mEq) Famotidine mg /Day
    Phos mM/Liter (=< 15mM) mM/Day (5-50mM)
    Mg mEq/Liter (=< 15mEq) mEq/Day (8-24mEq)
    (*) including Separate IV Fat Infusion if ordered.




      الوقت/التاريخ الآن هو الإثنين أكتوبر 23, 2017 11:46 am