Initial
0.5
1
1
Increase daily by
0.25
0.5
0.5
Maximum dose
3
4
2
Monitor the effect of infusion by measuring the serum triglyceride level. The goal is < 200 mg%.
Caution should be used in infusing fat emulsion in premature infants with pulmonary insufficiency, liver failure, jaundice, and coagulation disorders.
Protein
The amino acid compositions for neonates, children, and adult TPN differ as there are some amino acids that are essential during the early phases of life.
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