犬猫部分静脉营养(PPN)制剂配制
(2011-05-09 09:22:53)
标签:
部分静脉营养能量供给静脉营养葡萄糖氨基酸脂肪王姜维曹燕健康 |
分类: 治疗学专题 |
1、静息能量需求量(Resting energy requirement, RER)
70×(当前体重/kg)0.75=kcal/day,或者对于3-25kg的动物,使用:
30×(当前体重/kg)+70
RER=_____kcal/day
2、部分能量需求量(Partial energy requirement, PER)
计划使用PPN提供70%RER:
PER=RER×0.70= _____kcal/day
3、营养成份
(注释:对于≦3kg的动物,该公式提供的液体速率高于维持需求量。确保动物能耐受该液体量。)
a、3-5kg犬猫
PER×0.20=______kal/day from dextrose
PER×0.20=______kal/day from protein
PER×0.60=______kal/day from lipid
b、6-10kg犬猫
PER×0.25=______kal/day from dextrose
PER×0.25=______kal/day from protein
PER×0.50=______kal/day from lipid
c、11-30kg犬
PER×0.33=______kal/day from dextrose
PER×0.33=______kal/day from protein
PER×0.33=______kal/day from lipid
d、>30kg犬
PER×0.50=______kal/day from dextrose
PER×0.25=______kal/day from protein
PER×0.25=______kal/day from lipid
4、每天各营养溶液需求量
a、5%葡萄糖溶液=0.17 kcal/ml
______kcal from dextrose ÷ 0.17kcal/mL=______mL dextrose/day
b、8.5%氨基酸溶液=0.085g/mL=0.34kcal/ml
______kcal from protein ÷ 0.34kcal/mL=______mL amino acids/day
c、20%脂肪溶液=2 kcal/ml
______kcal from lipid ÷ 2kcal/mL=______mL lipid/day
5、每天总需求量
_____mL5%葡萄糖溶液
_____mL8.5%氨基酸溶液
_____mL20%脂肪溶液
_____mLPPN溶液
6、给予速率
该配方通常以维持液速率给予:
_______mL/hr PPN溶液