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:
Click Additives.
Guidelines for non-adults are displayed in the Estimated Requirements scrolling display.
For detailed Pediatric TPN Guidelines, click the More Info button. Click Cancel to return to the order.
Type the amount of each Electrolyte. If none is needed, type 0.
The amounts of sodium, potassium, phosphate, and chloride per kilogram of weight , as well as the concentrations of sodium, potassium, phosphate, and calcium (amount per liter of solution), are calculated and displayed automatically as each entry is completed.
Micronutrients:
The default multivitamin volume is based on the patient age and weight. Select another option if needed.
If needed, click the appropriate checkboxes to omit trace elements, or add zinc or selenium.
Optional Additives: Type the amount of each as needed. For Other, type a description.
Click OK (ALT+O).
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.