肠外营养（Parenteral nutrition）.docVIP

肠外营养（Parenteral nutrition） Parenteral nutrition.Txt to stay up late, because the courage to end the day; stay in bed because of the courage to start the day. A friend is someone who can see through you and like you. 1) energy requirements: adults need 1300-1500kcal/d. (2) energy source: Supplement fat 50-100g/d (30%-50%, energy and essential fatty acid), and the rest supplement glucose. 1) the daily basal supply of adults: Nitrogen intake (nitrogen) 0.10-0.15g/kg The amount of calories 96-134kJ/kg (24-32kcal) /kg Calorie ratio (kcal) fat: sugar, =1:1 or 3:7 Nitrogen (N): potassium (K) 1g: (5-10) mmol Sodium (Na) 50-100mmol 2) basic requirements for water and electrolytes: Water intake: 2000-2500ml/d (1kcal heat, /kg.d, feed water 1-1.5ml). Urine output: 1000-1500ml/d. Electrolytes: sodium, 100-126mmol, potassium, 60-80mmol, magnesium, 7.5-12.5mmol, calcium, 5-10mmol, phosphate, 10mmol. Daily vitamin requirement: VitA 25000IU VitB1 15mg VitB2 5-10mg VitB6 6mg Pantothenic acid 20mg VitB12 0-15 micrograms Folic acid, 2.5mg, VitC, 500mg VitD 100IU VitE 5mg VitK4 10mg Daily trace element requirement: Copper 0.3mg Iodine 0.12mg Zinc 2.9mg Manganese 0.7mg Chromium 0.02mg Selenium 0.118mg Iron 1.0mg Matching of three liter bags 1, energy: weight *20-25Kcal/kg.d 2, fat: Energy*50% (1/3-1/2, conventional not more than 1/2) 1g fat corresponds to 9Kcal calories, which is generally calculated according to the 1g fat corresponding to 10Kcal calories. 3, sugar: Energy*50% (total calories - fat energy) 1g sugars correspond to 4Kcal calories 4, Protein: the clinical is given to AA (mainly compound amino acids), liver disease should be branched chain AA, nephropathy, kidney disease, AA Protein: 0.8-1.2g/kg.d Kirby: ammonia amino acid (g): total energy =1:150-200 Protein (g) = amino acid (g) *6.25 5, Na:5-9g/d hypertension patients reduction 6, K:10%KCl 10ml is a cover to see urinary potassium, general compensation for the amount of 10%KCl 30ml (three /d), low potassium supplement as