Order TPN For Neonates/Pediatrics

• If you haven't already, open the TPN order form

• 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:

1. Indicate the volumes, rate, and route

2. Order amino acids, dextrose, and fats

3. Order additives

4. Type instructions as needed.

5. Select a start time (9pm on any day within one week).

6. Click OK (ALT+O).

7. When prompted, include associated orders as needed. See Consequent Orders for more information.

• Write additional orders as needed, then sign the session.