Page 467 - Small Animal Clinical Nutrition 5th Edition

Parenteral-Assisted Feeding 481

VetBooks.ir Table 26-3. Nutritional comparison of parenteral products.

Fat
Products
Caloric
(mOsm/l)
(g/100 ml)
(g/100 ml)
density Osmolarity Amino acids (g/100 ml) Carbohydrate Electrolytes Comments
(kcal/ml)
(kcal/ml)
Amino acids na 785-860 8.5 0 0 Few Contains all essential
8.5% without amino acids except
electrolytes taurine, nitrogen
1.3 g/100 ml, pH 5.3-
6.5, available in 500-
and 1,000-ml sizes.
Amino acids na 1,160 8.5 0 0 Yes Contains all essential
8.5% with amino acids except
electrolytes taurine, nitrogen
1.3 g/100 ml, pH 5.3-
6.5, electrolytes Na, K,
Mg, Cl, PO , available
4
in 500- and 1,000-ml
sizes.
ProcalAmine 0.25 735 3 0 3 Yes Contains 3% glycerol
and 3% amino acids,
nitrogen 4.6 g/1,000 ml,
pH 6.5-7.0, electrolytes
Na, K, Mg, Cl, PO ,
4
available in 500- and
1,000-ml sizes. Contains
13 nonprotein kcal/ml and
22.5 g amino acids/100
nonprotein kcal as is.
Mix 775 ml ProcalAmine
with 300 ml 20% lipid to
get 1,075 ml of a 3.2 g
protein/100 nonprotein
kcal solution.
Lipid 10% 1.1 268 0 10 0 No Contains soybean and/or
safflower oil, glycerin,
linoleic and linolenic
acids, egg yolk as
phospholipid emulsifier,
pH 6.0-8.9, available in
50-, 100-, 250- and 500-
ml sizes.
Lipid 20% 2 268 0 20 0 No Contains soybean and/or
safflower oil, glycerin,
linoleic and linolenic
acids, egg yolk as phos-
pholipid emulsifier, pH
6.0-8.9, available in 50-,
100-, 250- and 500-ml
sizes.
Dextrose
2.5-70% 0.09-2.4 126-3,535 0 0 2.5-70 No Contains hydrolyzed (vari-
ous) cornstarch, pH 3.5-
5.5, available in 50- and
500-ml sizes.
Key: na = not available.

Dextrose-Fat Ratio bolic complications will arise if the liver tolerates the glucose-
When PN is begun, most patients have not consumed their lipid ratio in the PN solution.
daily RER for at least three days, and are more likely even fur- PN is rarely instituted during the early phases of food depri-
ther along in the course of food deprivation (Day 5 or more). vation (fewer than three days of anorexia); however, if PN is
The proportion of glucose to lipid in the PN solution should indicated, canine patients should tolerate a moderate percent-
mirror the current metabolic condition of the liver.Fewer meta- age of their calculated RER as dextrose. For example, dogs in