Dextrose, history

Patient case A patient s daily nutritional requirements have been estimated to be 100 g protein and 2,000 total kcal. The patient has a central venous access and reports no history of hyperlipidemia or egg allergy. The patient is not fluid restricted. The PN solution will be compounded as an individualized regimen using a single-bag, 24-hour infusion of a 2-in-1 solution with intravenous fat emulsion (IVFE) piggybacked into the PN infusion line. Determine the total PN volume and administration rate by calculating the macronutrient stock solution volumes required to provide the desired daily nutrients. The stock solutions used to compound this regimen are 10% crystalline amino acids (CAA), 70% dextrose, and 20% IVFE. 

A 27-year-old man with falciparum malaria was given an infusion of quinine 600 mg in 5 % dextrose tds until his vomiting stopped. Five hours later he was found dead by hanging using his turban. There was no adverse social history and the patient was in general good health. 

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