DIET 4475 Chapter Notes - Chapter 5: Parenteral Nutrition, Low Birth Weight, Hyperglycemia
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Stensvold hj, strommen k, lang am, et al. Gir = 5 mg/kg/min max for adults, initiated at less than 3 mg/kg/min. Effects of gir on blood glucose between patients differs so exact recommendations are tough. Infants are different* (quite a bit higher, but remember their kg (wt) is way lower) Infants who are not feeding should not be allowed a gir less than 5 mg/kg/min for any significant period of time. (7g/kg/day) (4-8 mg/kg/min typically starting point) The gir needed to optimize nutrition in neonates is 14 mg/kg/min. (10 g/kg/day) In period 1 (2002-2005, for the historical comparison group), unit guidelines on pn in. Elbw infants recommended intravenous infusion of 10% glucose for the first several days of life, with intravenous amino acids and lipids added on days 3 and 4. 2011, for the early enhanced pn group), unit guidelines recommended initiation of pn immediately after birth as soon as vascular access was established.
