Johns Hopkins Hospital

Department of Pediatrics

Pediatric Parenteral Nutrition Solution (PAS) Order Form

Dextrose Concentration: 8-12 % peripheral
12 - 30 % central
Fats: Start with 0.5 - 1 g/kg/day
Advance 0.5 - 1 g/kg/day up to 3 g/kg/day

% of total calories in fat should be less than 40 %
Amino Acids:

In children under 2 years of age use Trophamine

Start with 1 g/kg/day
Advance by 1 g/kg/day (Max = 3 g/kg/day)

% of total calories in protein should be 6 - 8 % in renal or hepatic failure
% of total calories in protein should be 12 - 17% in others
Electrolytes: Na: 2 - 4 mEq/kg/day
K: 2 - 3 mEq/kg/day
Mg: 0.25 - 1 mEq/kg/day
Heparin: Recommended for central line use only: 0.25 - 1 Units/ml
Trace Elements:

Regular Trace Elements contain Chromium, Copper, Manganese, Selenium and Zinc.
If you choose not to add Trace Elements, consider adding back Chromium, Selenium and Zinc.

Infants
Children
(3 months to 5 years)
Older Children, Adolescents& Adults
Chromium
0.2 mcg/kg/day

0.14 - 0.2 mcg/kg/day
(max: 5 mcg/day)
5 - 15 mcg/day
Selenium
2 - 3 mcg/kg/day
2 - 3 mcg/kg/day
(max: 30 mcg/day)
30 - 40 mcg/day
Zinc
400 mcg/kg (preterm)
300 mcg/kg (term - 3 mo)
100 mcg/kg
(max: 5 mg)
2 - 5 mg

Albumin: 1 g/kg/day
Ranitidine: 2 - 6 mg/kg/day
Vitamin K: Additional Vitamin K is only needed in specific cases such as a bleeding disorder.
Dose: 2.5 - 5.0 mg/day
Carnitine: Neonates: 10 - 20 mg/kg/day (max: 50 mg/kg/day)

© Christoph U. Lehmann, MD; 2000