How do you prepare for TPN?

Procedure

1. Attend hand hygiene.
2. Clean dressing trolley with detergent impregnated wipes.
3. Collect equipment.
4. Remove TPN and lipids from refrigerator and place on trolley.
5. Check TPN and lipid prescription order against the prepared TPN and lipids as per medication policy.
6. Attend hand hygiene.

How is TPN calculated in NICU?

Example: A 3 kg infant starting TPN at 1.5 gram amino acids (AA)/kg/day is receiving 80 ml TPN fluid/kg/day. The infusion rate is 10 ml/hr, to give a total of 240 ml in 24 hours. 2. Calculate kcal delivered from protein: 1.5 × 4 3 kg = 2 kcal/kg/day from protein.

How often is TPN prepared?

TPN should be initiated slowly and titrated up for four to seven days. All patients require close monitoring of electrolytes (daily for one week, then usually three times/week). Always follow agency policy. Blood work may be more frequent depending on the severity of the malnourishment.

What are basic rules of TPN?

The TPN line should not be used for any other purpose. External tubing should be changed every 24 hours with the first bag of the day. In-line filters have not been shown to decrease complications. Dressings should be kept sterile and are usually changed every 48 hours using strict sterile techniques.

How do I write a pediatric TPN order?

EXAMPLE TPN CALCULATION:

1. First determine Fluid needs.
2. Next determine goal energy needs.
3. Next determine protein needs.
4. Next determine goal lipid intake.
5. Finally, determine carbohydrate intake .
6. Review final solution and calculations:
7. Order electrolytes, minerals – order standard or adjust based on initial labs.

How do you give a TPN to a neonate?

HOW IS TPN GIVEN? An IV line is often placed in a vein in the baby’s hand, foot, or scalp. A large vein in the belly button (umbilical vein) may be used. Sometimes a longer IV, called a central line or peripherally-inserted central catheter (PICC) line, is used for long-term IV feedings.

How is pediatric TPN calculated?

EXAMPLE TPN CALCULATION: Initial kcal goal is 450 kcal/d. Next determine protein needs. Goal for this infant is 2 g/kg = 10 g; 10g/500 cc = 2 %. 10 grams x 4 kcal/g = 40 kcal.

What are the three main admixtures of TPN?

Abstract. Total nutrient admixture (TNA) is a complete parenteral nutrition (PN) formulation composed of all macronutrients, including dextrose, amino acids, and intravenous fat emulsions (IVFE), in one bag.