Parenteral Nutrition
Individual Solution Worksheet

 

Carl Kuschel
October 2005
Clinical Guidelines Back Newborn Services Home Page

 

Note:

  • Individualised IVN is not to be ordered without approval from the specialist on duty.
  • Standardised solutions should be used in preference to individualised solutions, except in circumstances where nutritional needs cannot be met with the available IVN preparations.
    • If the only difference between a standard solution and the requested individualised solution is that more sodium is required, consider using a standardised solution and run in a separate infusion of sodium chloride.
  • This worksheet is designed to provide a prescription for individually prescribed IVN.
  • Some features are built in to the calculator including a limit on protein, glucose and lipid intakes, and limits on sodium, potassium, calcium and phosphate.
  • The prescriber takes responsibility for the IVN prescription.
  • Press the button at the bottom of the page to view and print out your prescription

Patient Details

Surname
Weight for calculations g
Hospital Number

Prescriber Name

Date of Birth
Default values have been assigned to protein, lipid and fluid intakes on the basis of this baby's age.
Default values will change when you alter the age of the baby until you choose to alter or accept any one of these 3 values.
 
 

Fluid Calculations


 

Fluid Volumes

Total Daily Fluid Intake
(This includes all fluids - IVN, lipid, infusions, and feeds)

ml/kg/day

ml/day
Current Infusions
Arterial fluids ml/hour ml/day
        ml/kg/day
Drug infusions
(do not count lipid)
ml/hour ml/day
      ml/kg/day
Feeds ml/day ml/kg/day
 

Lipid Prescription

Lipid intake

g/kg/day
Recommended maximum 3g/kg/day
 
 
 
 
 

Amino Acid and Glucose Solution

Amino Acid and Glucose Solution
    ml/day
ml/kg/day
  ml/hour

Protein

g/kg/day g/day
Recommended 2.5-3.5g/kg/day
g/L

Glucose

% dextrose g/kg/day
   

Recommended 12-18g/kg/day

  mg/kg/min
g/L

Sodium

mmol/kg/day mmol/day
Recommended 2-3mmol/kg/day
Preterm infants may need more
mmol/L

Potassium

mmol/kg/day mmol/day
Recommended 1-2mmol/kg/day
Preterm infants may need more
mmol/L

Anion

Calcium

mmol/kg/day mmol/day
Recommended 1.5-2.5mmol/kg/day
The maximum you can give is 2.5mmol/kg/day
mmol/L

Phosphate

mmol/kg/day mmol/day
This will give the same amount as for calcium
mmol/L

Magnesium

mmol/kg/day mmol/day
Recommended 0.15-0.25mmol/kg/day
mmol/L

Trace elements

will be added at a concentration of 1ml/150ml to all solutions

Heparin

will be added at a concentration of 500U/L to all solutions

Days to Supply

Volume to supply

ml
 

Caloric Calculations

 
Protein
 
Glucose
 
Lipid
 
Enteral

 
Total
Non-nitrogenous calories per gram of protein


This ratio is calculated as if no enteral nutrition is being given
A ratio of 24-32 is thought to optimise anabolism

Clicking on this button will perform a check of all data.

If all calculations are correct, a window will open with your IVN prescription