| 1 gram of TrophAmine = 4 kcal | |
| TrophAmine is the hospital formulary amino acid solution for neonates. It contains Taurine, Glutamine, and Cysteine which are essential amino acids for infants | |
| Begin at 0.5 grams protein per kg body weight per day | |
| Term infants and infants greater than 1000 grams can begin at 1 g/kg/day | |
| Maximum protein parenterally = 3.5 g/kg/day | |
| Excessive protein intakes can cause metabolic acidosis, hyperammonemia, lethargy, and cholestasis | |
| If trends reflect increasing bilirubin, creatinine, ammonia or acidosis with increasing parenteral protein, consider decreasing protein to previously tolerated amount. | |
| Minimum daily protein = 1 g/kg/day |