Advancement & Monitoring of Parenteral Nutrition in Children

 

Starting & Monitoring PN in Children
Day 1 - 2
Day 3 - 4
Day 5 - 7
Protein (gm/kg)
1.5 - 2.0
2.0 - 3.5
Achieve goal
Dextrose (%)
5 - 10%
10 - 15%
10 - 12.5%, if peripheral (may increase by 2.5-5% to goal of 20-25%, if central)
Fat Emulsion (gm/kg)
1 - 1.5
2 - 3
Achieve goal
Monitoring Daily CHEM-10
Weekly Hepatic Panel A and
Triglycerides
Daily CHEM-10
Weekly Hepatic Panel A and
Triglycerides

Once stable, CHEM-10,
2 - 3 times per week.