TEAM C SURVIVAL GUIDE: Answer to Question #5

5.       On the above regimen, BabyGirl Jones has d-sticks of 180-220.  What changes do you need to make?  Recalculate the dextrose portion of her TPN.  

GIR was 12.5. To normalize the glucose levels, we want to decrease the GIR to 10. To do this, use your formula for GIR, plug and chug…

GIR (mg/kg/min) = % dextrose x rate (cc/h)
                              6 x wt(kg)

10mg/kg/min = % dextrose x 15 cc/h
                         6 x 3kg

= 12% dextrose