| Monitoring | Suggested Initial Frequency2 | |
| Clinical Monitoring | ||
| Patient examination temp,pulse,RR | daily | |
| Bloop Pressure | 4 hourly | |
| Ward urine analysis | daily | |
| Fluid balance | daily | |
| Nutrient intake | daily | |
| Body weight | weekly | |
| Laboratory monitoring | ||
| Full Blood Count | daily | |
| Prothrombin time | 2 x weekly | |
Folate and B
|
as clinically indicated | |
| Iron, transferrin, ferritin | as clinically indicated | |
| Blood urea and electrolytes, creatinine | daily | |
| Glucose | daily or as indicated | |
| Calcium, phosphate | 3 x weekly | |
| Liver function tests | 2 x weekly | |
| Magnesium, zinc, copper | weekly | |
| Acid Base measurement | as clinically indicated | |
| Urine-urea & electrolytes, creatinine (24 hour collection) | as indicated | |
| Other fluids-electrolytes (timed collection) | as indicated | |
| Bacteriology-parenteral catheter, skin puncture site | as indicated | |
| Blood Culture | as indicated | |
| Catheter tip culture | on removal | |
Nutritional requirements for average 70 kg adult
Note- TPN bags supplied in this hospital does not contain vitamins. Vitamin preparations e.g. Cernevit must be prescribed separately and administered daily through a central or peripheral line. The recommended method of infusion is in 100mls of normal saline over one hour.
The specific type of nutrition (TPN or jejunal feed etc) is not often available in short notice. Doctor in charge must be responsible for nutrition of their patient with the help of the dietician, they must ensure that nutrition is commenced at weekends when dietician is not available.