ICU Tips

Hemodynamics - TPN - ICU Phones


TPN Calculations:

25-35 kcal/kg/day (non-protein calories)

based on ideal body weight (or IBW + 25%XS)

Higher needs if septic, burn, etc.

 Dextrose (CHO) 3.4 kcal/gm

Base solution is D70

                D10 (10%) = 340 kcal/L

                D20 = 680

                D25 = 850

                D30 = 1020

                D35 = 1190

                D40 = 1360

Lipids (fat) 9.0 kcal/gm

                10% = 1.1 kcal/ml

                20% = 2.0 kcal/ml

                Propofol is 10% lipids

Amino Acids (AA) 4.0 kcal/gm, not included in caloric requirements

Base solution is AA10

                AA4 (4%) = 40 gm protein/L

                AA5 = 50

                AA6 = 60

                AA7 = 70

 Nitrogen Balance: (grams nitrogen)

(protein in/6.25) - (24hr UUN) - 4

 Reference the MAC computer in the fellows office

Be prepared to argue with the nutritionist!

Phones:

Fellows office

5-7074

Call room

5-7066

E2 (East)

5-7122

NICU (North)

3-6081

 Anesthesia Code Pager

12640

Medicine Code Pager

12543

 Attendings Pagers:

Mihm

13093

Pearl

 13264

Rizk

 10576

Rosenthal

 13124

Ruoss

13729
Weinacker 13766

 

North ICU

1 – 40738

3 – 40739

5 – 40740

7 – 40741

9 – 40742

11 – 40743

13 – 40744

15 – 40745

17 – 40746

19 – 40747

21 – 40748

23 – 40749

25 – 43321

27 – 40751

29 – 40752

 

East ICU

21 – 44235

22 – 44236

23 – 44237

31 – 44239

32 – 44240

33 – 44241

34 – 44242

35 – 44243

36 – 44244

37 – 44245

38 – 44226

39 – 44247

42 – 44248

43 – 44229

44 – 44249