Information on the order:
Pediatric/neonatal TPN parameters are automatically utilized for patients weighing less than 40 kg.
For MGH Pediatric TPN Guidelines, click More Info. Click OK to return to the order form.
If an active order for TPN exists, the new order form is populated with its values automatically. However, if you chose to change the weight for calculations when prompted, the volume and rate fields are reset to no entry.
The Total Daily Fluids displayed is a general care order. See Fluid Management Orders.
Complete the form:
Type the number of grams Amino Acids per kilogram of weight per day.
The amino acid amount (gm) and kcals delivered by the solution are calculated and displayed automatically as you type.
The Neonatal Amino Acid mix with cysteine is the default solution. Change the selection if needed.
The amount of cysteine (mg) included in the solution is calculated and displayed automatically once you move to the next entry.
Type the concentration (%) of Dextrose.
The dextrose amount (gm/kg) and kcals delivered by the solution, as well as the protein/dextrose kcal total and ratio of non-protein kcals to the amount of protein, are calculated and displayed automatically as you type.
Type the number of grams per kilogram of weight per day of Fat. The lipid solution is 20% fats, weight per volume.
To run the Fat solution as a separate infusion:
Click the Separate 20% Fat Infusion checkbox. The volume is calculated from the amount automatically.
Type the duration of the infusion
Click Calculate to display the amounts (gm) and energy value (kcal) of the solution's components, its total energy value (kcal), and its ratio of non-protein energy to grams of nitrogen.
Type instructions as needed.
Select a start time (9pm on any day within one week).
Click OK (ALT+O).
When prompted, include associated orders as needed. See Consequent Orders for more information.
Orders written for peripheral administration are described as Peripheral Parenteral Nutrition (PPN).
Write additional orders as needed, then sign the session.