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Age Caloric Requirement

(kcal/kg/day)

Premature 90 – 120
• Carbohydrates  40 – 60%
neonate
• Fat  30 – 40 %
Term 100 – 110
• Protein  20 – 30% can increase by 20% to 50%
neonate
in critical illness, thermal injury, and catch-up
growth
Infant 80 – 110

Child 70 – 90

Adolescent 40 – 60

Macronutrient Carbohydrates (Dextrose 10%) Fat Protein


Infusion rate 10-14 mg/kg /min
Max 18mg/kg/min neonate
Monitoring 1 hr after q6 hr first 24 hr TG 1 day after then weekly<250 Blood urea nitrogen
Direct bilirubin>34 cholestasis PH
Serum ammonia level
Target 54-180 mg/dl
1-2g/kg/day
0.5–1 g/kg/day for EFAD

Age group Target Age group Target


lipid Protein
(g/kg/d (g/kg/da
ay) y)

Preterm 3 Preterm 3–4


neonate neonate

Term 2.5 – 3 Term 2.5 – 3


neonate/inf neonate/infa
ant nt

Children 2 – 2.5 Children 1.5 – 2.5

Adolescent 1–2 Adolescent 0.8 – 2

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