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Intravenous nutrition (IVN) and fluids calculator: term infants

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This calculator is designed to provide maximal nutritional intakes in the majority of infants who require IVN that can be provided by the Starship NICU standard IVN solutions.

  • Term infants should receive P100 and SMOF. 

  • P100 is usually given at a maximum volume of 71ml/kg/day in term infants, which will provide 2.9 g/kg/day of protein.  Some infants may require 90 ml/kg/day (3.5 g/kg/day).

  • SMOF is usually given at a volume to provide 2 g/kg/day of fat on day 1, followed by 3 g/kg/day on day 2 and thereafter. SMOF is continued until IVN is ceased.

  • Occasional infants will require an individualised IVN solution - contact dietitian if this is required.

Please consider carefully whether the infant requires IVN or whether 10% glucose (with or without additives) can be used.  In general, larger infants (>1500g) who are expected to feed quickly should not be prescribed IVN.

Patient Data

Date of fluid order
    
Surname
   Enter a surname if the order is to be printed.
Hospital Number
    Enter a hospital ID number if the order is to be printed.
Age of baby
    
Working weight
 g
Planned daily fluid intake
 ml/kg/day
 to be given over
IVN and lipid may be given over a period <24 hours if the baby is receiving intermittent infusions that interrupt fluid administration.
Arterial line fluids
 ml/hour
Other infusions
(excluding insulin)
 ml/hour
  • Consider whether the infusions should be made up in 5% glucose, 10% glucose, 0.45% NaCl, or 0.9% NaCl.
Lipid
 g/kg/day
Oral feeds
 ml every hours
IVN amino acid solution
Solution P100  (You cannot use Starter solution)
Maximal desired intake: ml/kg/day.
This is the most that you want the baby to receive, even if the baby can tolerate a greater intake.
Maximum possible intake:
Based on current oral feeds and the maximum you have set above.
Actual intake:
  • Protein intakes will be limited to 3.5g/kg/day from the IVN amino acid solution, and a total of 4.0g/kg/day of combined IVN and oral protein.
Additional glucosee
 Glucose. Heparin (250U/500ml) is not necessary unless running through a separate lumen.
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IVN and Fluid Order

Date of order Name
Working weight Hospital number

ml/day

ml/kg/day

Fluid Type (and special instructions)

ml/hour

IVN - P100

Lipid



Oral fluids
  

ml/day
ml/kg/day		 Totals


ml/hour

Nutritional Information

Energy
Total Energy Intake
  
 
Energy from IVN
  
 
Protein - IVN
 
Protein - total
 
Lipid
 
Carbohydrate - IVN
 
Carbohydrate - additional glucose
 
Carbohydrate - IVN and additional
 
Oral feeds
 
Electrolytes and Minerals
Sodium
  • This value excludes flushes and medications.
 
 
 
Potassium
  • This value excludes infusions and medications.
 
Calcium