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TPN Calculations

1. The document provides examples of calculating nutritional requirements from various enteral and parenteral nutrition products including Ensure, Jevity, Perative, Procalamine, Impact, Nutren 2.0, Boost, and Glucerna. 2. It also provides examples of designing total parenteral nutrition solutions and calculating protein, calorie, and fluid amounts. 3. Key aspects covered include calculating total volume, calories, protein, free water, and fiber from different products administered over 24 hours. It also addresses designing TPN to meet specific calorie and protein requirements.

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991 views4 pages

TPN Calculations

1. The document provides examples of calculating nutritional requirements from various enteral and parenteral nutrition products including Ensure, Jevity, Perative, Procalamine, Impact, Nutren 2.0, Boost, and Glucerna. 2. It also provides examples of designing total parenteral nutrition solutions and calculating protein, calorie, and fluid amounts. 3. Key aspects covered include calculating total volume, calories, protein, free water, and fiber from different products administered over 24 hours. It also addresses designing TPN to meet specific calorie and protein requirements.

Uploaded by

api-293416259
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Nutrition Support Calculations

NDFS 356
1. Determine the following for Ensure at 68 ml/hour:
a. Total volume: 68 x 24 = 1,632 ml
b. Total calories: 1.05 x 1632 = 1,714 ml
c. Protein (grams): 9g/ 237 ml x1632 ml = 62 g protein
2. Determine the following for Jevity1.2 at 120 ml/hour:
a. Total volume (ml): 120 x 24 = 2,880 ml
b. Total calories: 1.2 x 2880 = 3,456 kcal
c. Total protein (g): 13.2g/ 237 ml x 2880 ml = 2,321 ml
d. Free water (ml): 191/237 ml x 2880 ml = 2,321 ml
e. Fiber (g): 4.3 g/ 237 ml x 2880 ml = 52 g
3. How much Perative would need to be delivered to provide about 2,500 calories and about
130 protein?
Total volume in mls: 2500 kcal/ 1.3 kcal/ml= 1,923 ml (protein: 15.8 g/ 237 ml x 1923
ml = 128 g protein)
4. Calculate the following for Procalamine at 100 ml x 24 hours:
a. Protein (grams): 29g/ 1000 ml x 2400 ml = 70 g
b. Total calories: protein: 29g x 4 = 116 kcal/1000 ml x 2400 ml = 280 kcal protein
NPC: 130 kcal/ 1000 ml x 2400 ml = 312 kcal = 592 total kcal
c. Total non-protein calories (NPC): 312 kcal
5. Calculate how much Impact is necessary to provide 80 grams of protein. What is the total
volume, calories and free fluid that it would provide?
a. Total volume (ml): 14g/ 250 ml x 80g=0.056 g/ml 80g/ 0.056 g/ml= 1,429 ml
b. Total calories: 1,429 kcals (1.0 kcal/ ml)
c. Free fluid (water) (ml): 213 ml/ 250 ml x1429= 1218 ml
6. How many cans of Nutren 2.0 are necessary to provide 1250 calories? How much protein
does it provide? How much free fluid?
a. # of cans: 1250/500 = 2.5 cans/day
b. Protein (g): 20 g/can x 2.5 = 50 g

c. Free Fluid: 175 ml/can x 2.5 = 438 ml


7. Determine the following for someone who consumed 3 and one-half cans of Boost.
a. Calories: 240 kcal/ can x 3.5 = 840 kcal
b. Protein (g): 10 g/ can x 3.5 = 35 g
8. How much of the following nutrients would be provided in 2 Glucerna meals bars?
a. Kcals: 220 x 2 = 440 kcals
b. Protein: 10 x2 = 20 g
c. Overall % of DV: 70% of most vitamins and minerals
9. For the following Standard TPN solution, calculate the requested information: 2800 ml of
50% CHO and 8.5% AA.
a. Protein (grams): 119 g (2800 ml/ 2 x.085= 119 g)
b. Total NPC: 2,380 kcal
c. Total calories: 2,856 kcal
10. Calculate the nutritional provisions in a standard solution of 2,450 ml 50% CHO, 10%
protein, and 10% lipids (500mls) QOD
a. Protein (grams): 122.5 g (2450/ 2=1225 ml x .10=122.5 g)
b. Total NPC: 2082.5 + 275= 2,357.5 ml
c. Total calories: 2,847.5 kcal
11. Calculate the following: 1,200 ml of 70% CHO; 1,000 ml of 8.5 % protein; and 20%
lipids (in 500 ml bag) given QOD to a 74 kg person.
a. Protein (grams): 1000 ml x 0.085 Amino Acids = 85 g
b. Total NPC (average/day): 1200 ml x 0.70 CHO= 840g x 3.4 = 2856+500 = 3,356
kcals
c. Total calories: 85 g aa x 4 = 340 + 3356 = 3 696 kcal
d. Fat load: 250 x 0.2 = 50 g /day, 50/74 = 0.68 g/kg/day
e. CHO load: 840,000/74/1440= 7.9 mg/kg/min
f. What is the max amount of CHO for this person: 6.0 = x/74/1440, x = 639 g CHO
12. MC is starting on TPN (wt. 61 kg). You determined his needs to be 2,650 kcals/day and
protein needs at 91 grams. He will get 10% lipids 3 times/week. Write a TPN order using
60% dextrose and 8.5% AA (include protein calories) to meet his needs:

a. Volume CHO (60%): 2650-364 kcal pro-236 kcal fat = 2050 kcal CHO/3.4 =
603/0.60 = 1,005 ml
b. Volume Pro (8.5%): 91 g/ 0.085= 1,071 ml
c. Average daily lipid calories: 550 x 3 / 7 = 236 kcal
d. Fat load: 50 g x 3/ 7 = 21 g/day / 6kg = 0.35 g/kg/day
e. CHO load: 603,000 mg/ 61 kg/ 1440 = 6.9 mg/kg/min
13. Design a TPN formula to provide 1840 calories and 65 grams of protein for a 59 kg
person. Remember the minimum lipid requirements. Make sure the person receives
adequate fluid.
Protein: 65 x 0.085 = 765 ml, 65 x 4 = 260 kcal
CHO: (load = 3.5) 3.5/1000 x 59 x 1440 = 297 g, 297 x 3.4 = 1,010 kcal
Lipid: 500 x 0.1 = 50 g, 50 x 11 = 550 kcal

Volume (ml)

CHO

40%

743 ml

Protein

8.5%

765 ml

Fat

10 %

Volume:

Frequency:

500 ml

1 per day

Fat load

0.88

CHO load 3.5


14. JT is receiving both Procalamine and Jevity 1.0. He is tolerating Jevity at only 40 ml/hour
which doesnt meet his protein needs of 90 grams. How much Procalamine does he need
and at what rate over 24 hours to meet his total protein needs?
a. Procalamine (grams protein): 40 ml/hr x 24 = 960 ml jevity 10.4 g/237 x 960 ml =
42 g protein jevity 90-42 = 48 g
b. Procalamine (volume): 29 g/1000 ml = 0.029 g/ml, 48g/ 0.029 =1655 ml
c. Rate of Procalamine: 1,655/24 = 69 ml/hr
d. Kcals provided by Jevity: 960 x 1.06= 1,018 kcal

15. Find a product that will provide 1,200 calories and >60 grams pro in less than 1,000 ml
and osmolality less than 600 mOsm. How much must be delivered?
Peptamen AF: 1,200 kcal
1000 ml = 1200 kcal = 76 g protein
16. Calculate the following for Jevity1.5 half strength (diluted in equal wateri.e. of the
total volume is added water) at 83 ml/hour over 22 hours.
a. Calories: 913 ml x 1.5 = 1,370 kcal
b. Protein: 15.1 g/ 237 ml x 913 ml= 58 g
c. Total volume: 1,826 ml
d. Free fluid from Jevity 1.5: 180/ 237 x 913= 693 ml
e. Total free fluid provided (added water plus Jevity free fluid): 693+913=1606 ml
17. Design a tailor-made formula providing 112 grams protein, 2,875 total calories, and
3,100 mls total fluid ( 100 mls) for an 89 kg person. Complete the table below.
Protein: 112/0.1 = 1,120 ml, 112 x 4 = 448 kcal
CHO: (load: 4) 4 mg x 89 x 1440/1000 = 513 g, 513 x 3.4 = 1743 kcal, 513 x 0.4 g =
1283 ml
Fat: 684/11 = 62 g, 62 x 0.1 = 622 ml
Initial Stock Concentration

Total Grams Total Volume

Amino acids

10%

112 g

1,120 ml

Dextrose

40%

513 g

1,280 ml

Fat

10%

62 g

622 ml

CHO load

4.0 mg/kg/min

Fat load

0.7 g/kg/day

Final AA concentration

3.7%

Final dextrose concentration 17.0%


Total final volume

3,025 ml

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