TPN Skillbuilder answers

TPN Skillbuilder answers - dextrose: 2280 x .25 (25%...

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HUN 4445 Skillbuilder Parenteral Nutrition 1. For which of the following patients would parenteral nutrition be indicated? A patient with intractable nausea and vomiting yes A comatose patient no A patient with a fractured jaw no A patient with pancreatitis maybe A patient with a small bowel obstruction yes A patient with an esophageal fistula (hole in the esophagus) no A patient with severe inflammatory bowel disease yes 2. MP has an IV with D5 W (5% dextrose in water) running at 65 ml/hr. How many calories is she receiving from her IV? 65 ml/hr x 24 hr = 1560 ml x 0.05 (5% dextrose) = 78 g dextrose 78 g x 3.4 kcal/g = 265 kcals 3. RE is receiving a central TPN solution containing 25% dextrose and 5% amino acid solution at 95 ml/hr. How many calories and grams of protein is RE receiving? 95 ml/hr x 24 hrs = 2280 ml protein: 2280 x 0.05 (5% AA) = 114 g protein x 4 kcals/g = 456 kcals
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Unformatted text preview: dextrose: 2280 x .25 (25% dextrose) = 570 g dextrose x 3.4 kcal/g = 1938 kcals kcals: 1938 + 456 = 2394 kcals 114 g protein 4. How many calories would 250 ml of 10% lipid emulsion contain? 250 ml x 1.1 kcal/ml = 275 kcals How many calories would 250 ml of 20% lipid emulsion contain? 250 ml x 2.0 kcal/ml = 500 kcals 5. SG is receiving the following TPN solution: 25% dextrose and 7% amino acid solution at 75 ml/hr and 10% fat emulsion at 21 ml/hr. How many total calories is SG receiving? 75 ml/hr x 24 hrs = 1800 ml dextrose: 1800 x .25 (25% dextrose) = 450 g dextrose x 3.4 kcal/g = 1530 kcals protein: 1800 x .07 (7% protein) = 126 g protein x 4 kcal/g = 504 kcals fat: 21 ml/hr x 24 hrs = 504 ml x 1.1 kcal/ml = 554 kcals Total kcals: 1530 + 504 + 554 = 2588 kcals...
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TPN Skillbuilder answers - dextrose: 2280 x .25 (25%...

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