Nutrition TPN Flashcards
TPN
Ideal Ca:phos
1.3:1
“Think 1:1 but Ca is 3rd letter in alphabet”
BM
which immunoglobulin stays high in human milk
IgA all the way!
Holder pasteurization: “IgM Melts”
Vit A facts
Important for lung growth
Deficiency: CLD, photophobia, conjunctivitis, FTT, skin scaling, epiphyseal bone probs, tooth enamel probs
Thiamine
Vit B1
Ber1ber1: CARDIAC, CONSTIPATION, fatigue, irritability.
Associated: pyruvate dehydrogenase deficiency and Maple syrup urine disease
“Put BERI’s and MAPLE SYRUP in your PY(pie)”
Riboflavin
FTT, photophobia, blurred vision, dermatitis, mucositis.
Associated: Glutartic Aciduria Type I
“Tauric from selling sunset has bad vision but great taste(flavor). So needs riboflavin.”
Flava Flave! is 2 words so B2
Pyridoxine
Dermatitis, mucositis, hypochromic, anemia, possible seizures.
Needed in homoSIXtinurua
Six and pyridoXine both have “X”
Biotin
Alopecia, dermatitis, scaling, seborrhea
Needed for: biotinidase deficiency, beta-methylcrotonyl glycinuria, propionic acidemia, pyruvate dehydrogenase complex deficiency.
Ascorbic acid
Vit C: poor wound healing, and bleeding gums
Give it transient tyrosinemia
“Tyrone the pyrite (scurvy) transiently needs Vit C”
Vit D deficiency.
Rickets, FTT,
What percent should protein calories provide in TPN?
Critical for positive nitrogen balance.
7-15% of kcal.
1g= 4kcal