THE DOSING OF LIPID EMULSION INJECTION DEPENDS ON ENERGY EXPENDITURE, THE PATIENT'S CLINICAL STATUS, BODY WEIGHT, TOLERANCE, AND ABILITY TO METABOLIZE LIPID EMULSION INJECTION, AS WELL AS ADDITIONAL ENERGY GIVEN ORALLY/ENTERALLY TO THE PATIENT. FOR COMPLETE PARENTERAL NUTRITION, CONCOMITANT SUPPLEMENTATION WITH AMINO ACIDS, CARBOHYDRATES, ELECTROLYTES, VITAMINS, AND TRACE ELEMENTS IS NECESSARY.
PRIOR TO ADMINISTRATION OF LIPID EMULSION INJECTION, CORRECT SEVERE WATER AND ELECTROLYTE DISORDERS, SEVERE FLUID OVERLOAD STATES, AND SEVERE METABOLIC DISORDERS. BEFORE STARTING THE INFUSION, OBTAIN SERUM TRIGLYCERIDE LEVELS TO ESTABLISH THE BASELINE VALUE. IN PATIENTS WITH ELEVATED TRIGLYCERIDE LEVELS, INITIATE LIPID EMULSION INJECTION AT A LOWER DOSE, AND ADVANCE IN SMALLER INCREMENTS, CHECKING THE TRIGLYCERIDE LEVELS PRIOR TO EACH ADJUSTMENT.
THE RECOMMENDED DURATION OF INFUSION FOR A PARENTERAL NUTRITION BAG IS BETWEEN 12 AND 24 HOURS, DEPENDING ON THE CLINICAL SITUATION. TREATMENT WITH PARENTERAL NUTRITION MAY BE CONTINUED FOR AS LONG AS IS REQUIRED BY THE PATIENT'S CONDITION.
THE MAXIMUM DAILY DOSE OF LIPID EMULSION INJECTION SHOULD BE BASED ON INDIVIDUAL TOTAL NUTRITIONAL REQUIREMENTS AND PATIENT TOLERANCE. THE USUAL LIPID DOSAGE IS 1 TO 1.5 G/KG/DAY (EQUAL TO 5 TO 7.5 ML/KG/DAY OF LIPID EMULSION 20%). THE DAILY DOSE SHOULD NOT EXCEED 2.5 G/KG/DAY. THE INITIAL INFUSION RATE SHOULD NOT EXCEED 0.1 G (EQUAL TO 0.5 ML) PER MINUTE FOR THE FIRST 15 TO 30 MINUTES. IF TOLERATED, GRADUALLY INCREASE UNTIL REACHING THE REQUIRED RATE AFTER 30 MINUTES