Question

DATE HOME HEALTH TPN FORMULA: Patient Additives: mL D 8.5% 10% ロ55% WITH STANDARD ELECTROLYTES DEXTROSE: O 10% □20% 40% AMINO ACIDS. 425 357 125 | |□ MVC 9-3 10mL Daly HUMULIN-R10 times weekly times weekdy ml. 50% M 70s Runits DAILY - check one a 10% 20% mg mL □ □ FOLIC ACID LİPIDs: FOR ALL IN ONE FORMIULA VITAMIN K mg □ ㅡㅡㅡㅡㅡㅡ FINAL VOLUME □ OTHER: qsad STERLE WATER FOR INJECTION □ OTHER: 0.465 mEoml 5 mEq Calcium Gluconate Magnesium Suitate Potassiun Acetate Potassium Chloride Potassium Phosphate Sodium Acetate Sodium Chloride Sodium Phosphate TRACE ELEMENTS CONCENTRATE mEq Directions: mEq 2 mEq/mL 2 mEq/m 3 mwmt. 2 mEq/ml 4 mEq/ml DAILY INFUSE: ___ TIMES WEEKLY 22 mM | | OTHER DIRECTIONS: 35 mEq CONTINUOUS INFUSION: AT -mL PER HOUR CYCLIC INFUSION: OVER TAPER UP AND DOW Rate: STANDARD RATE: 110 mL PER HOUR HOURS AT FOR 12 VALIDATION LAB ORDERS STANDARD LAB ORDERS SMAC-20, CO2, Mg+2 TWICE WEEKLY CBC WITH AUTO DIFF WEEKLY UNTIL STABLE, THEN: SMAC-20, CO2, Mg + 2 WEEKLY CBC WITH AUTO DIFF MONTHLY DOCTORS SIGNATURE Print Name: Office Address: OTHER Phone: WHITE: Home Health mple caiculation in Figure 108. Sample physician's order form for TPN exa FIGURE 10-10

Use figure 10-10 to answer the following the questions.

How many kilocalories are there per bag of:

a. CHO

b. PRO

c. FAT

d. What is the total number of kilocalories per bag?

Answer 1

According to the figure the patient getting

amino acid 10% = 425ml

dextrose 70% = 357ml

lipids 20% = 125ml

additional elements like

calcium gluconate 5mEq

magnesium sulfate 5mEq

pottasium phosphate 22mM

sodium chloride 35mEq

himulin r 10units

MVI12 10ml

infusion rate 110ml/hour for 12 hours

so the total fluid can be 110*12= 1320

here the total volume= 425+357+125+400+10 = 1317 ( both are approximately same )

so the total calorie with

protien = 10*425/100= 42.5gm

= 42.5 * 4 ( 1gm protien = 4 kcal)= 170kcal

from carbohydrate

70* 357/100 = 249.9g

= 249.9 * 4 ( igm carbohydrate= 4kcal)= 999.6kcal  

from fat

20*125/100= 25g

= 25 * 9 ( 1gm fat = 9 kcal) = 225kcal

total calorie per bag = 170+999.6+225

= 1394.6 kcal