REQUERIMIENTOS DE ELECTROLITOS EN NUTRICIN PARENTERAL

ELECTROLI
TO

Neonatos
pretermin
o

Lactantes
y nios

Adolescent
es Nios >
50 Kg

Adultos

2.0 5.0
46 115

2.0 5.0
46 115

1.0 . 2.0
23 46

1.0 . 2.0
23 46

2.0 5.0

2.0 5.0

1.0 . 2.0

1.0 . 2.0

2.0 4.0
78 156

2.0 4.0
78 156

1.0 2.0
39 - 78

1.0 . 2.0
39 78

2.0 4.0

2.0 4.0

1.0 2.0

1.0 - 2.0

2.0 4.0
SD
SD
SD
40 80

0.5 4.0
SD
SD
SD
10.0 80.0

SD
10.0 20.0
200 400
5.0 10.0
SD

SD
10.0 15.0
200 300
5.0 7.5
SD

1.0 . 2.0

0.25 - 2.0

SD

SD

0.3 0.5
SD
SD
SD
3.6 6.0

0.3 0.5
SD
SD
SD
3.6 6.0

SD
10.0 30.0
120 360
5.0 15.0
SD

SD
8.0 20.0
96 240
4.0 10.0
SD

0.15 0.25

0.15 0.25

SD

SD

No aplica
SD
SD

No aplica
SD
SD

No aplica
10.0 40.0
310 1240

No aplica
20.0 40.0
620 1240

1.0 2.0

0.5 2.0

SD

SD

SODIO
mEq/Kg/da
mg/Kg/da
mmol/Kg/d
a
POTASIO
mEq/Kg/da
mg/Kg/da
mmol/Kg/d
a
CALCIO
mEq/Kg/da
mEq/da
mg/da
mmol/da
mg/Kg/da
mmol/Kg/d
a
MAGNESIO
mEq/Kg/da
mEq/da
mg/da
mmol/da
mg/Kg/da
mmol/Kg/d
a
FSFORO
mEq/Kg/da
mmol/da
mg/Kg/da
mmol/Kg/d
a
SD: Sin Dato
Tomado de: A.S.P.E.N. Board of Directors and The Clinical Guidelines
Task Force. SAFE PRACTICES FOR PARENTAL NUTRITION. JPEN J
Parenter Enteral Nutr. 2004; 28:S39-S70.

PRODUCTOS COMERCIALES UTILIZADOS EN EL CLCULO DE REQUERIMIENTOS DE ELECTROLITOS EN

NPT
COMPOSICIN
PESO
OSMOLARI
PRODUCTO
mg/m mmol/m mEq/m
QUMICA
MOLECULAR
pH
DAD
[
]/%
FRMULA
COMERCIAL
L
L
L
mg/mmol
mOsm/L
MOLECULAR

Natrol

Cloruro de sodio
NaCL

2 mEq/mL
11.70%

NaCL: 58.5
Na+: 23
CL- : 35.5

117
46
71

Katrol

Cloruro de
potasio KCL

2 mEq/mL
14.90%

KCL: 74.5
K+: 39
CL -: 35.5

149
78
71

Gluconato de
calcio
C12H22CaO14

100
mg/mL
10%

C12H22CaO14:
430.38
Ca++: 40
Gluconato:
390.38

100

Sulfato de
magnesio
MgSO4.7H2O

200
mg/mL
20%

MgSO4.7H2O: 246
Mg++: 24
SO4=: 96

200
19.44
77.76

Fosfato de
potasio
KHPO4

3 Molar

KHPO4: 135

Quibi-Calcio

Suftato de
magnesio

Fosfato de potasio

K+: 39

9.3
90.7

171.6

2
2

2
2

2
2

0.2325
0.2325

0.81
0.81

4.4

2
2

4.5
7.0

4000

4.0
8.0

4000

6.0
8.2

680

0.465
0.465

1.62
1.62

4.4

5.5
7.0

1626

6.5

7357

PO4=: 65
P=: 31

NA
93

NA
3

NA

ELECTROLITOS
Electrol
Na
Na
NaCl (1g)
K
K
Ca
Ca
Mg
Mg
P
Cl
Cl

Milliequivalents
1
43
17 Na
1
26
1
50
1
82
2 HPO -5
1
29

Millimoles
1
43
17 Na
1
26
0.5
25
0.5
41
1
1
29

Milligrams
23
1000
393 Na
39
1000
20
1000
12
1000
31
35
1000