TPN Calculations Date:
Reason for formula change:
Age: yrs IBW: kg Protein Considerations:
Height: in BMI: m2 BMI < 30: 1.2 - 2 gm/kg ABW
Gender:
MSJ: kcal BMI 30-40: 2 gm/kg IBW
Actual Wt: kg TBW
BMI > 40: Up to 2.5 gm/kg IBW
Wt for Protein: kg
Moderate Stress & Oncology: 1.5 - 2 Gm/kg
Critically ill?
Vent, Severe Sepsis, MOF? Metabolically Stressed or Sepsis: 1.8 - 2 Gm/kg
kcal/day
Acute Renal Failure: 0.8 - 1.2 gm/kg IBW
Hemodialysis Patients: 1.2-1.5 Gm/kg IBW
CRRT Patients: 1.5 Gm/kg up to 2.5 Gm/kg IBW
Goal Calories: kcal/day kcal/kg (ABW) Cirrhosis: 1.2 - 1.8 Gm/kg (even if elevated ammonia)
kcal/kg (IBW) Critically ill Considerations:
Percent of Goal: kcal/day
After 5-7 days, consider increasing kcal to 25 kcal/kg (BMI < 30) or MSJ x 1.3 (BMI > 30).
Starting Formula:
Gm kcal/D
Required mL
Protein
mL
CHO mg/kg/min
mL
Fat %NP
mL
Diprivan (ml/hr):
Electrolytes: 150 mL
Total: kcal/D
Minimum Volume: mL
kcal/kg (TBW)
Minimum Rate: mL/hour
kcal/kg (IBW)
Your Rate: mL/hour
Your Volume: mL
CHO/Fat Advancements:
Gm kcal/D
Protein Date advanced:
CHO(75%) mg/kg/min Minimum Rate: mL/hr
Fat(75%) %NP (incl. Diprivan) Your Rate: mL/hr
Total (with Dip.)
kcal/day (75% goal) Your Volume: mL
Protein Date advanced:
CHO(100%) mg/kg/min Minimum Rate: mL/hr
Fat(100%) %NP (incl. Diprivan) Your Rate: mL/hr
Total (with Dip.)
kcal/day (100% goal) Your Volume: mL
TF Adjusted Formula:
Gm kcal/D
Protein Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP (incl. Diprivan) Your Rate: mL/hr
Diprivan: kcal/D
TF: kcal/D
TF Rate: ml/hr Other: kcal/ml
Total: kcal/D
TF Type:
kcal/ml
Wean TPN Calculations   Date:          
Reason for formula change:
Actual Wt: kg
Wt for Protein: kg
Current Formula:
Grams kcal/D
Protein gm/kg
CHO mg/kg/min
Fat %NP
kcal/D
% of Goal: %
Grams kcal/D
Protein gm/kg Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP Your Rate: mL/hr
kcal/D
Grams kcal/D
75% Protein gm/kg Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP Your Rate: mL/hr
kcal/D
Grams kcal/D
50% Protein gm/kg Date changed:
CHO mg/kg/min Minimum Rate: mL/hr
Fat %NP Your Rate: mL/hr
kcal/D