Kerala State Drug Formulary.pdf

Paediatric Nutrition
NUTRITION
Recommended Balanced Diets (ICMR Recommendation)
Parentral Nutrition
1. Glucose
I: Treatment of hypoglycemia, maintenance fluid in
newborn, fluid replacement without significant
electrolyte deficit, management of hyperkalemia, to
provide calorie requirements
A/E:
Thrombophlebitis with hypertonic dextrose solutions;
fluid and electrolyte disturbances; hyperglycemia
P/A: Injectable solution: 5%; 10% isotonic solutions of 500mL
bottles. 10% and 20% solutions 1000ml for parenteral
nutrition, 25%, 50% hypertonic solutions as 25 mL
ampoules.
Dose: Hypoglycemia 10% dextrose 5mL/kg.
25% dextrose 2mL/kg with insulin for correction of
hyperkalemia
Higher concentrations of glucose are used for
parenteral nutrition. Minimum 20% of calorie
requirements should be provided by the maintenance
fluid .
2. Amino acid infusions
Essential amino acids are available as parenteral
solutions. They contain a mixture of essential and
nonessential aminoacids. 5%, 6%,10% aminoacid infusion
solutions 500mL and 100mL bottles
Dose: 2-5g/kg/day
3. Lipid emulsions
10%, 20%, 30% emulsions 500ml bottle.
Dose: 1-3 g/kg/day
3 in 1 solution containing dextrose, amino acids and lipid is also
available for parenteral nutrition commercially.
4. Water for injection
2-mL ,5-mL, 10-mL ampoules.
Uses: in preparations intended for parenteral administration
and in other sterile preparations
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