47) Total Parenteral Nutrition (TPN): Use 20%

47) Total Parenteral Nutrition (TPN): Use 20% Dextrose, 5% amino acids and 20% lipids for TPN concentration (11 pts) You have calculated your pts nutrient needs at 1882 kcals, 74 gm protein. Pt is 72 kg. Your facility uses a standard 2 L ebag of TPN solution at the above concentrations. Complete the following calculations to determine how much lipids you need to provide to meet the estimated energy needs (remember – you can round as needed). (Show work to be able to earn partial credit on incorrect answers) Total dextrose provided (g) ___________ Total protein provided (g) ___________. Does this meet patient’s needs? _________ Total kcal provided by dextrose _____________ Total kcal provided by protein _______________ Total kcal provided by TPN solution __________ Additional kcal needed by lipids _____________ Amount of lipid solution (mL) needed _____________ At what rate will you run the TPN solution (assuming 24 hours) _____________ What is the dextrose infusion rate for this patient? _____________ mg CHO/kg/min Is this within the recommended range? SCIENCE HEALTH SCIENCE NURSING NURSE GEC15

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