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Normal: < 160mg/dl (< 2.09 mmol/L)
Serum triglyceride measurements are useful indicators of lipid tolerance in patients receiving IV lipids.
Hyperlipidemia: Greater than 250 mg/dL
Triglyceride levels occasionally become persistently elevated in patients receiving continuous infusions of IV lipids. At very high levels (greater than 1000 mg/dl) triglycerides appear to precipitate pancreatitis.
Consider cyclical administration of lipids over 12-18 hours a day to give the liver a chance to rest from the fat load. Heparin may facilitate faster metabolism of chylomicrons and reduce triglyceride levels.
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