 |
Acetate: 1 mEq/g protein/kg.
Used as a buffer. Given as sodium or potassium salt. Order
the same number of mEq of acetate as g/kg protein, more if the infant is
acidotic. |
|
Cysteine: Can be added to TPN as 40
mg/gram amino acids, prn. To decrease pH in order to increase
the solubility of calcium and phosphate. If acidotic, add more acetate. |
|
Carnitine: 10-25 mg/kg/day
(greater than 28 mg/kg/day can impair growth). For triglycerides
greater than 150mg/dL. Deficiency can alter fat metabolism. |
|
Zinc: Recommended Zinc intake is 150
mcg/kg/day for term, and 400 mcg/kg/day for preterm infants.
Maximum of 1000 mcg/kg/day. note that 0.2 ml/kg of neotrace provides
30 mcg/kg/day of zinc. |
|
Insulin: Used to improve glucose tolerance when hyperglycemia
prevents GIR from advancing greater than 5 mg/kg/minute. |
|
Albumin: TPN dose = 1 g/kg/day
for about 4 days. Used to sustain oncotic pressure when hypoalbuminemic
(less than 2.4). Not acute treatment. |
