Glucose 19% + Vamin 18 Novum + Intralipid 20%

Adults: The dose is set for each patient, and the bag size is chosen according to the patient's clinical condition, body weight and nutritional needs. For total parenteral nutrition, trace elements and vitamins must be given in addition. Adult patients: The nitrogen needed to maintain body protein mass depends on the patient's condition (for example nutritional state and degree of catabolic stress). The requirement is 0.10-0.15 g nitrogen/kg/day in a normal nutritional state or when metabolic stress is mild. In patients with moderate to high metabolic stress, with or without malnutrition, it is in the range of 0.15-0.30 g nitrogen/kg/day (1.0-2.0 g amino acid/kg/day). The commonly accepted requirements that go with this are 2.0-6.0 g for glucose and 1.0-2.0 g for fat. A dose range of 0.10-0.20 g nitrogen/kg/day (0.7-1.3 g amino acid/kg/day) covers the need of most patients. This corresponds to 19 ml-38 ml/kg/day, so for a 70-kg patient it equals 1330 ml-2660 ml of this solution per day. The total energy requirement depends on the patient's clinical condition and is most often between 25-35 kcal/kg/day. In obese patients, base the dose on the estimated ideal weight. The solution comes in four sizes, meant for patients with high, moderately increased, basal or low nutritional requirements. Again, trace elements and vitamins should be given additionally to provide total parenteral nutrition. Children: The child's ability to handle each nutrient must decide the dose. In general, for small children (2-10 years) the infusion should start low, at 12.5-25 ml/kg (corresponding to 0.49-0.98 g fat/kg/day, 0.41-0.83 g amino acids/kg/day and 1.2-2.4 g glucose/kg/day). It is then increased by 10-15 ml/kg/day up to a maximum of 40 ml/kg/day. For children over 10 years of age, the adult dose can be used. This parenteral nutrition is not recommended in children under 2 years of age, because the amino acid cysteine may be considered conditionally essential in them.