Parenteral nutrition in liver failure and hepatic encephalopathy
This calculator is a work in progress. Please double check
the results
The ideal nutrition in decompensated liver cirrhosis and hepatic encephalopathy is a controversial topic. The approach here is largely based on a German guideline from 2009, although other guidelines support the suggested protein and energy intake. This approach here assumes, that you have three components to your parenteral nutrition:
- a protein (or amino acid) component
- a lipid component
- a glucose component
In order to calculate the correct rates, you might need to adjust the parameters (e.g. energy contents or concentrations). Preset are values for an 8 % amino acid component, a 40 % glucose component and a 2000 kcal/l lipid component
Results
| protein/amino acids: | {{ proteinMin.toFixed(2) }} g/d with malnutrition to {{ proteinMax.toFixed(2) }} g/d in malnutrition |
|---|---|
| total energy intake: | {{ energyMin.toFixed(2) }} kcal/d to {{ energyMax.toFixed(2)}} kcal/d |
Components
| protein/amino acids | volume: | {{ (proteinMin/proteinConcentrationGperL).toFixed(2)}} l/d to {{ (proteinMax/proteinConcentrationGperL).toFixed(2) }} l/d |
|---|---|---|
| energy: | {{ ((proteinMin/proteinConcentrationGperL) * proteinEnergyKcalPerL).toFixed(2) }} kcal/d to {{ ((proteinMax/proteinConcentrationGperL) * proteinEnergyKcalPerL).toFixed(2) }} kcal/d | |
| lipids | volume: | {{ ((remainingEnergyMin * (percentageLipidEnergy/100))/lipidEnergyKcalPerL).toFixed(2) }} l/d to {{ ((remainingEnergyMax * (percentageLipidEnergy/100))/lipidEnergyKcalPerL).toFixed(2) }} l/d |
| energy: | {{ (remainingEnergyMin * (percentageLipidEnergy/100)).toFixed(2) }} kcal/d to {{ (remainingEnergyMax * (percentageLipidEnergy/100)).toFixed(2) }} kcal/d | |
| glucose | volume: | {{ ((remainingEnergyMin * (percentageGlucoseEnergy/100))/glucoseEnergyKcalPerL).toFixed(2) }} l/d to {{ ((remainingEnergyMax * (percentageGlucoseEnergy/100))/glucoseEnergyKcalPerL).toFixed(2) }} l/d |
| energy: | {{ (remainingEnergyMin * (percentageGlucoseEnergy/100)).toFixed(2) }} kcal/d to {{ (remainingEnergyMax * (percentageGlucoseEnergy/100)).toFixed(2) }} kcal/d |