Intravenous nutrition

  • Order total parenteral nutrition (TPN) from Raigmore Hospital Pharmacy Department using the TPN prescriptions proforma provided. 
  • The standard TPN regimes are outlined in the table below in  in Total parenteral nutrition regimes
  • Information on prescribing TPN in Raigmore Hospital is available in the General Surgery Foundation Year Doctors’ Handbook or from Pharmacy Production staff, tel: 01463 704000 (switchboard). 

Total parenteral nutrition regimes:
COMPONENTS

Regimen 1
Peripheral OR Central (NuTRIflex Lipid Peri 1250mL)

Regimen 2
Peripheral OR Central

Regimen 3
Central

Regimen 4
Central

Regimen 5
Central

Regimen 6
Central

 TOTAL Nitrogen (g)

5·7

11·4

10·2

13·6

15

20

TOTAL Glucose (g)

80

160

225

300

270

360

TOTAL Lipid (g)

50

75

75

100

75

100

TOTAL (Kcal)

955

1910

1900

2530

2215

2950

TOTAL Volume (mL)

1265

2515

1890

2515

1890

2655·5

Sodium (mmol)

50

100

75

100

100·5

70

Potassium (mmol)

30

60

52·5

70

70·5

60

Calcium (mmol)

3

6

6

8

7·95

5

Magnesium (mmol)

3

6

6

8

7·95

5

Phosphate (mmol)

7·5

15

22·5

30

30

20

Cernevit   (1vial)

1

1

1

1

1

1

Additrace (10mL)

1

1

1

1

1

1

Infusion rate mL/hour over 24 hours

52

104

78

104

78

106

Out of hours supply

  • Raigmore Hospital holds emergency stocks of NuTRIflex Lipid Peri 1250mL. This bag is highlighted in grey above, however bags taken from emergency stock will not contain Cernevit and Additrace
  • If TPN is required outside Pharmacy opening hours, this is the only bag which may be used.
  • The NuTRIflex 1250mL bag can be administered via both a central line and a peripheral cannula.
  • The NuTRIflex Lipid 1250mL TPN bag should be prescribed on the fluid chart with the rate of administration added.
  • The flow rate should be 26mL/hour for the first 48 hours for patients starting TPN or until the patient has been assessed by a Dietitian.
  • Refer these patients to a Dietitian as soon as possible.
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