Table 5.
PN formulation adjustments—case study
| PN component | POD 1 | POD 2 | POD 7 | POD 14 | POD 20 | POD 25 |
|---|---|---|---|---|---|---|
| Total volume (mL) | 960 | 1,700 | 2,000 | 1,800 | 1,500 | 1,400 |
| Total kcal | 510 | 1,770 | 2,350 | 2,055 | 1,651 | 1,230 |
| Dextrose (g) | 100 | 180 | 350 | 275 | 215 | 150 |
| Amino acids (g) | 42.5 | 140 | 140 | 130 | 105 | 105 |
| ILE (g)(SO, MCT, OO, FO-ILEa) | 0 | 60 | 60 | 60 | 50 | 30 |
| Sodium (mEq) | 35 | 100 | 147 | 90 | 80 | 110 |
| Potassium (mEq) | 30 | 70 | 100 | 80 | 60 | 50 |
| Chloride (mEq) | 39 | 80 | 120 | 90 | 60 | 80 |
| Acetate (mEq) | 70 | 70 | 100 | 60 | 60 | 60 |
| Phosphorus (mmol) | 15 | 15 | 20 | 15 | 15 | 15 |
| Magnesium (mEq) | 5 | 8 | 10 | 12 | 8 | 8 |
| Calcium (mEq) | 4.5 | 10 | 10 | 8 | 5 | 5 |
| Thiamine (mg)b | 0 | 100 | 0 | 0 | 0 | 0 |
| Multivitamin injection (mL) | 0 | 10 | 10 | 10 | 10 | 10 |
| Trace elements injection (mL) | 0 | 1 | 1 | 1 | 1 | 1 |
ILE=intravenous lipid emulsion, SO=soybean oil, MCT=medium-chain triglycerides oil, OO=olive oil, FO=fish oil
a
30% soybean oil, 30% medium-chain triglycerides oil, 25% olive oil, 15% fish oil intravenous lipid emulsion.
b
In addition to thiamine in multivitamin injection.