 |
1 gram of Intralipid 20% IL = 10 kcal; 1 cc
= 2 kcals |
|
Begin at 0.5 grams protein per kg body weight per day |
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Advance by 0.5 g/kg/day to goal |
|
Goal is 3 mg/kg/day |
|
Run over 20-24 hours and less than 0.15 g/kg/hour for best fat clearance |
|
Monitor triglycerides. If greater than 150, decrease intralipids
to previously tolerated amount. Consider adding carnitine to TPN
to promote fatty acid metabolism and lipid clearance. |
|
If infant has severe hyperbilirubinemia (approaching exchange level)
decrease intralipids to 1 g/kg/day as excess intralipids my displace bilirubin
from binding albumin |
|
The minimum amount required to prevent essential fatty acid deficiency
(EFAD) is 0.5 g/kg/day, 2-3 times per week |
