Pre Lecture PN Worksheet

Pre Lecture PN Worksheet

List the 2 types of solution that PN can be prepared as and describe how the solutions differ based on what macronutrients they contain (1 points):

How many kcals are there per gram of protein otherwise known as amino acids (1 points)?

How many kcals are there per gram of carbohydrate otherwise known as dextrose (1 points)?

How many kcals are there per gram of fat otherwise known as lipids (1 points)?

What micronutrients were discussed as being part of the “trace elements” package in the video (1 points)?

For PN solutions with an osmolarity of over 900, what is recommended as far as where to infuse the PN formula (1 points)?

What parameters were suggested in the video that should be closely monitored for patients receiving PN (1 points):

Chapter 16

PN solutions are “hypertonic” and if infused inappropriately can result in what (1 points)?

What is “central PN” or CPN (1 point):

CPN is preferred for what types of patients (1 point)?

List 4 considerations that should be assessed when determining if patients are candidates for home PN (1 points):

Pre Lecture PN Worksheet

Chapter 17

The following section is worth 9 points; .5 points per question.

What are the most common types of amino acids used when “formulating” PN?

Lipid injectable emulsions of ILEs are used to provide what in PN?

List the 5 ILE products currently available in the US market:

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ILE formulations are commercially available in concentrations of what?

How many calories are provided per mL for the above ILE formulations?

Why would alternative ILE formulation be preferred over SO-ILE?

List the potential allergens for ILE products?

Pre Lecture PN Worksheet

List the 2 PN components that are used for acid-base balance in PN:

How are the mineral calcium and magnesium provided in PN?

What is the most common way to provide vitamins in PN?

How are trace elements typically provided in the PN?

Commonly used trace elements for PN typically include:

After reviewing Figure 17-1, what was the desired target rate for dextrose (in mg/kg/min) for the case presented?

What is the maximum amount of dextrose that could be provided to not exceed 4 mg/kg/min for a patient weighs 80 kg?

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How many grams of protein per day should be provided to this patient if you want to provide 1.2 grams/kg?

If we are going to provide 375 grams of dextrose in the PN for this patient, how many calories would this provide per day?

How many calories will the protein provide?

If the patient needs about 2150 kcals per day, how many calories will 250 mLs of 20% ILE provide per day?

Extra credit: In figure 17-1, how many additional mLs are estimated for providing additives?  How many additional mLs are recommended in class examples? (1pt)