Parenteral Nutrition  

For Adults in Intensive Care Units

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Nutrients  

Total Amount (ml) =

Calories = ( /kg)

Proteins = g ( g N)

    1 g/kg: normal patient.
    1.5 g/kg: septic patient.
    1.5-2 g/kg: politraumatized /hemofiltration.

Proteins volume (ml) =

    15%: normal patient.
    10%: hepatic or renal protection.

Calories (proteins) =

% of total

Glucose = g

Glucose volume (ml) =

Calories (glucose) =

% of total

Lipids = g

    Lipids volume (ml) =

    ml/kg =

    Calories (lipids) =

    % of total

    Vitamins, Trace-elements

    Supplements volume (ml) =

    Fat-soluble Vitamins (Vitalipid®...) 10 ml/vial

    Hidrosoluble Vitamins (Soluvit®...) Liofilized, dissolved in total ml (~0 ml added)

    Trace-elements 10 ml/vial

    Ions

    Adjust to needs and pathology

    Ions volume (ml) =

    Standard Formulas  

    Cantidad de fórmula (ml) =

    Calories = ( /kg)

    Round Macronutrient Volume 

    References
      McClave S, Taylor BE, Martindale RG et al
      Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient - SCCM, ASPEN
      JPEN J Parenter Enteral Nutr. 2016 Feb; 40(2):159-211
      Grodner, M, Roth SL, Walkingshaw B et al
      Nutritional Foundations and Clinical Applications
      Elsevier, 2011, p.341-356
      Walker RN, Heuberger RA
      Predictive equations for energy needs for the critically ill
      Respir Care. 2009 Apr; 54(4):509-21
      Weissman C
      Nutrition in the intensive care unit
      Crit Care. 1999; 3(5):R67-75

    Author

    Aurora Baluja González, Agustín Cariñena Amigo

    Servicio de Anestesiología y Reanimación. Hospital Clínico Universitario

    Santiago de Compostela, España

     

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