Parenteral Nutrition: Premixed Solution Case Studies

Want to see how an RDN might select premixed parenteral nutrition solutions? Today we're walking through three different patient profiles and choosing premixed PN and injectable lipid emulsion options for each.

Calculation note:
Thanks to the helpful viewer that let us know our calculations are wrong for the dextrose content of the Bag C + D option for Patient 3. Bag C is indicated as 110g dextrose, and Bag D has 144g dextrose, which should have put our total at 254g dextrose and not 154g.

Got questions? Leave them in the comments below!

Closed captions provided by Ali Mathews.

[rritesh]

Really great content. Thank you. How can we calculate free water in enteral and perenteral formulations? I couldn't find the exact answer on internet. Thank you in advance

[Ali-Alfakhri]

You really have valuable content, i hope you make a return soon

[aliciagoetz]

Hi, I have a question. I just started working in a sub acute facility. Occasionally they have Residents who require tpn. They only use premixed formulas, and have to use whatever the pharmacy has available. If they ask me to write a tpn order, I can’t write it up until I know what formula is available, is that correct? From what I understand, they’re all different as far as kcal/pro/lipids etc. I can’t figure out the rate until I know which formula is available. I’m just making sure I understand how orders work for premixed formulas.

[rhodabincy]

Thank you for the video! I do have a question for client 3. When we are giving try bags of 2 in 1 and 1 bag of lipids, do we also add extra micronutrients? The comparison of bag C to double bag D are way different.