Total parenteral nutrition (TPN) supplies all daily nutritional requirements. TPN can be used in the hospital or at home. Because TPN solutions are concentrated and can cause thrombosis of peripheral veins, a central venous catheter is usually required. PARENTERAL NUTRITION Central Line or Total (TPN) and Peripheral (PPN) Before you start, • Obtain baseline labs: Basic Metabolic Profile, Phos, Mg, Prealbumin, TGs, Chol, LFTs, CBC, INR • Know actual height & weight– determine IBW for TPN calculations (use actual weight if UNDER IBW);.
Mar 01, 2018 · TPN Electrolytes (multiple electrolyte additive) is indicated for use as a supplement to nutritional solutions containing concentrated dextrose and amino acids delivered by central venous infusion, to help maintain electrolyte homeostasis in adult patients.Drug class: intravenous nutritional products. Fluid and Electrolytes in Adult Parenteral Nutrition By Theresa Fessler, MS, RD, CNSC Suggested CDR Learning Codes: 2070, 3040, 5440; Level 3 Body fluid and serum electrolyte concentrations often become imbalanced in patients who require parenteral nutrition (PN) due to one or more factors, such as physiologic stress, wound.
This total parenteral nutrition calculator provides an empiric dose for the macronutrients included in a TPN formulation. In addition to providing an initial recommended dose, you may alter the contents of each macronutrient while maintaining a specified daily caloric requirement. TPN per Pharmacy Karen King, Pharm.D., BCNSP General Considerations Starting TPN is never an emergency. PPN may be used when needed less than 2 weeks, if patient has good veins. Max osmolality of 900 through the peripheral vein. Central line access needed for TPN (subclavian, PICC, IJ, I-Port, etc.) The Basics Who needs TPN? Why do they need TPN?