Protein

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


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