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Daily electrolyte and mineral requirements for parenteral nutrition in pediatric patients

Daily electrolyte and mineral requirements for parenteral nutrition in pediatric patients
Electrolyte Preterm neonates Infants/children Adolescent
Sodium

2 to 5 mEq/kg

(2 to 5 mmol/kg)

2 to 5 mEq/kg

(2 to 5 mmol/kg)

1 to 2 mEq/kg

(1 to 2 mmol/kg)
Potassium

2 to 4 mEq/kg

(2 to 4 mmol/kg)

2 to 4 mEq/kg

(2 to 4 mmol/kg)

1 to 2 mEq/kg

(1 to 2 mmol/kg)
Calcium*

2 to 4 mEq/kg

(1 to 2 mmol/kg)

0.5 to 4 mEq/kg

(0.25 to 2 mmol/kg)

10 to 20 mEq

(5 to 10 mmol)
Phosphorus* 1 to 2 mmol/kg 0.5 to 2 mmol/kg 10 to 40 mmol
Magnesium

0.3 to 0.5 mEq/kg

(0.15 to 0.25 mmol/kg)

0.3 to 0.5 mEq/kg

(0.15 to 0.25 mmol/kg)

10 to 30 mEq

(5 to 15 mmol)
AcetateΔ As needed As needed As needed
ChlorideΔ As needed As needed As needed

These estimated requirements assume normal age-related organ function and normal loss.

Mmol converstions for sodium, potassium, elemental calcium and magnesium provided by UpToDate.

* Guidelines recommend that for young infants (especially premature infants), calcium and phosphorus should be added in a molar ratio that is close to 1:1 to optimize phosphorus utilization. Refer to the UpToDate topic review on parenteral nutrition in premature infants.

¶ Calcium requirements above are for elemental calcium. Conversions: 1 mEq elemental calcium (20 mg) = 0.5 mmol = 215 mg calcium gluconate salt. The molecular weight of calcium gluconate is 430.373 g/mol.

Δ The ratio of acetate and chloride is adjusted as needed to maintain acid-base balance.
From: Mirtallo J, Canada T, Johnson D, et al. Journal of parenteral and enteral nutrition (Volume 28, Issue 6). pp.S39-70, Copyright © 2004 by the American Society for Parenteral and Enteral Nutrition. Reprinted by permission of SAGE Publications.
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