|
Electrolytes, particularly sodium, potassium, chloride, calcium,
phosphorus and magnesium should be ordered as per the guidelines found
in the Parenteral Nutrition in Pediatric
Patients: Electrolyte Guidelines in mEq/kg or mEq per total volume
depending on the computer ordering pathway chosen.
Recommendations for Calcium & Phosphorus
- Recommended Parenteral Calcium & Phosphorus
Intake
| Recommended Intake |
Calcium
(mEq/kg)
|
Phosphorus
(mEq/kg)
|
| Preterm, Term Infants |
3.0 - 4.0
|
3.0 - 4.0
|
| Older Children (10-40 kg) |
1.0 - 3
|
1.0 - 3
|
| Adolescents (>40 kg) |
1.0 - 1.5
|
1.0 - 1.5
|
- The optimal Calcium to Phosphorus ratio for preterm and term
infants is 1.3 - 1.7:1 by weight, which is a 1 - 1.3:1 molar
ratio.
- The combined total of calcium and phosphate cannot
exceed 5.2 mEq/100 ml using a standard amino acid preparation or 7.2
mEq/100 ml using TrophAmine.
|
