tpn maximum gir for tpn
Adult glucose intolerance and hypertriglyceridemia associated with the administration of TPN was discussed by Imad Btaiche, PharmD, BCNSP, Clinical Assistant Professor, University of Michigan Health System and College of Pharmacy, Ann Arbor, Michigan. The recommended initial glucose infusion rate (GIR) for adults was 4 mg/kg/min. The balance of calories should be provided as lipid. Insulin administration was suggested for serum glucose concentrations exceeding 200 mg/dL. A maximum of 7 mg/kg/min was discussed as the upper limit for adults. This recommended maximum GIR includes instances when TPN is given over less than 24 hours for patient convenience.