Amino Acid Calculator Clinisol 15% AA Excel Calculator - PowerPoint Presentation

Slide1

Amino Acid Calculator

Clinisol 15% AA Excel Calculator

Excel Calculator – User Instructions

Each gender has a specific calculator

Participant’s height will be entered by the user

IBW and # of grams of protein required to reach goal of 2.5 g/kg/day will be calculated based on height.

Users will next enter protein

values from standard nutritional

care.

Finally, the

t

otal amount of study amino acids and the subsequent volume of

Clinosol

15% to enter will be calculated automatically based on IBW and protein from Standard nutritional care.

Excel Calculator – User Instructions

The maximal rate of infusion of AA is 1.8 g/kg IBW/day

The calculator will also

calculate the maximum allowable amino acid dose and maximum allowable volume of

Clinisol

15% that can be administered

.

The calculator is

programmed to indicate if the value Amino Acid dose and Volume of

Clinisol

15 % exceeds the Maximum allowable dose.

If the Volume of

Clinisol

15% required to meet daily protein goals is greater than the Maximum allowable dose, it will appear in red text and the maximum allowable dose will appear in green text.

(See example

)

Users should administer the amount that appears in green text (See examples)

Considerations for Using AA Calculator

The

previous 24h protein amount should be calculated and used to generate the new daily amino acid dose.

Consider

whether the amount of protein via standard of care methods will be the same, less or more than in the past 24 hours when setting the final target for the day.

For

example, if the patients is planned to receive more enteral nutrition (and thus protein via the enteral route), you may need to adjust downwards the desired amount of IV aa.

When you have to make a judgment, consider protein amounts in past days and

i

f the patient has received less than desired, err on side of delivering too much.

Example: Mr. X

55 year old man, 6 feet

tall (183 cm), 204 lbs (92 kg)Just starting on EN, expected to receive 80 grams protein/day

Use ‘Male Participants’ Calculator

Enter the height of the man into the ‘Height (cm)’ circled in red below

This will automatically calculate the IBW and the Daily Protein Goal

Example: Mr. X

Participant is receiving 80g of EN protein, so enter this value under the ‘Standard Nutritional Care’ section (circled in red) under the correct source of the protein type (EN) (circled in green)

4.

Add

the amount of protein in grams under the appropriate source into the calculator so that the correct amount of amino acids (Clinisol 15%) can be calculated to be administered

Example: Mr. X

5. The amount of ‘Study Amino Acids’, ‘Amino Acid Dose’ ‘Volume of Clinisol 15%

R

equired to

M

eet

D

aily

P

rotein Goals’ and ‘

M

aximum Allowable Volume of

Clinisol 15%’ will automatically be calculated based on input of height (cm) and the amount of protein in grams from ‘Standard Nutritional Care’.

Note: For the ‘Volume of Clinisol 15% to be Administered’ (outlined in red), the indicator of whether the volume required exceeds the maximum allowable dose is based on the text

colour . If the volume required value is green, use the this value. If the volume required value is red, do not use the value, use the Maximum allowable value, which is now green.

Example: Mr. X

Summary

The volume of Clinisol 15% that will be administered to Mr. X, who is a 55 year old man, 6 feet tall (183

cm) and weighing 204

lbs

(92

kg) and receiving 80 g of EN protein

is 914

mL.

The volume of

914 mL

is used (as indicated by its green

coloured

text) because it does not exceed the Maximum allowable Volume of Clinosol, which is 933 mL in this scenario.

Example 2: Mrs.

Y

68 year old woman, 5 feet tall (152 cm), 158

lbs

(72

kg)

Just starting on EN, expected to receive 80 grams protein/day

Use

‘Female

Participants’ Calculator

Enter the height of the

woman

into the ‘Height (cm)’ circled in red below This will automatically calculate the IBW and the Daily Protein Goal

Example:

Mrs.

YParticipant is receiving 40g

of EN protein, so enter this value under the ‘Standard Nutritional Care’ section (circled in red) under the correct source of the protein type (EN) (circled in green)

4.

Add

the amount of protein in grams under the appropriate source into the calculator so that the correct amount of amino acids (Clinisol 15%) can be calculated to be administered

Example:

Mrs.

Y5. The amount of ‘Study Amino Acids’, ‘Amino Acid Dose’ ‘Volume of Clinisol 15%

R

equired to

M

eet

D

aily

P

rotein Goals’ and ‘

M

aximum Allowable Volume of

Clinisol 15%’ will automatically be calculated based on input of height (cm) and the amount of protein in grams from ‘Standard Nutritional Care’.

Note

: For the ‘Volume of Clinisol 15% to be Administered’ (outlined in red), the indicator of whether the volume required exceeds the maximum allowable dose is based on the text

colour

. If the

v

olume required value is green, use the this value. If the volume required value is red, do not use the value, use the Maximum allowable value, which

is green

.

Example:

Mrs. Y

SummaryThe volume of Clinisol 15% that will be administered to

Mrs. Y,

who is a

68

year old

woman

,

5

feet tall

(152

cm) and weighing 158 lbs

(72 kg) and receiving 40 g of EN protein is 583 mL. The volume of 583 mL is not used

(as indicated by its red coloured text) because it exceeds the maximum allowable Volume of

Clinosol

, which is

542

mL

in this scenario.

Instead,

542 ml is used

(as indicated by the green

coloured

text) because it is the maximum allowable dose for this participant.

Any Questions?