Answer Happy

Calculate the volume of each additive that you will use to
compound the prescription, based on available stock solutions (3pts
= 0.5 points for each additive and 0.5 pt for insulin, MVI, and
trace elements)
A 45 year-old WM is being discharged home on parenteral nutrition after a complication from a gastric bypass surgery. The patient had PICC line placed and confirmed on radiology. The medical team needs your expertise in devising the formula as well as other all other recommendations for administration via an ambulatory pump. Patient's weight: 210 lbs., height 5'5" The nutritionist decided on a 3-in-1 formulation and established the following nutritional goals: Caloric needs: 23 kcal/kg Fluid requirements 26ml/kg/day Protein: 1.2 g/kg/day Sodium 52mEq Potassium 50m Eq Magnesium 10mEq Calcium 9mEq Chloride as Acetate as Phosphate 30mmol Insulin 10 units MVI 10ml Trace elements 1ml You have available the following solutions: 70% dextrose 20% Intralipid 15% Clinisol Sodium chloride 4mEq/ml Potassium acetate 2mEq/ml Sodium acetate 2mEg/ml Calcium gluconate 10% Potassium phosphate 4.4mEq/ml Magnesium sulfate 10mg/ml
Humulin R 100 units/ml, 10ml vial