Nutritional needs: Difference between revisions

Latest revision as of 17:12, 11 November 2017

Background

IBW

male= 106 lbs + 6lbs for each inch over 60 +/- 10%.
female=100 plus 5 lbs for each inch over 60 +/- 10%

adjusted body wt.=(actual-IBW) x.25 + IBW. Use for people whose abw is greater than 120% ibw ...or BMI greater than 25.

Kcal needs is based on adjusted body weight, but protein needs is based on ideal body weight.

Kcal Needs(kcal/kg):

basal m25 f20
normal weight maintenance: m30 f25.
Ventilated m25-30 f same.
Stress m30-35 f same.
trauma/sepsis m35-40 f same
extremely catabolic 40-45

Protein Needs (g/kg)

maintenance .8
hospitalized 1-1.5
trauma/stress/sepsis 1.2-2
closed head injury 1.4-2.2
renal failure (without dialysis) .8^
renal failure (with dialysis) 1.2-1.5
liver disease with out encephalopathy 1.2-2.0
hepatic encephalopathy .6-.8^

^ may be greater with compounding medical conditions

Fluid Needs

Intravenous fluids (main)

Sedated Patients

reduction in metabolic rate by as much as 30%.
propofol gives 1.1Kcal/cc
patients getting po dilantin should have their tube feeds held 1 hour prior to and 1 hour after it is administered.

@@ Line 1: / Line 1: @@
 ==Background==
+===IBW===
+#male= 106 lbs + 6lbs for each inch over 60 +/- 10%.
+#female=100 plus 5 lbs for each inch over 60 +/- 10%
+adjusted body wt.=(actual-IBW) x.25 + IBW. Use for people whose abw is greater than 120% ibw ...or BMI greater than 25.
-IBW-male= 106 lbs + 6lbs for each inch over 60 +/- 10%.
-female=100 plus 5 lbs for each inch over 60 +/- 10%
-adjusted body wt.=(actual-IBW) x.25 + IBW. Use for people whose abw is greater than 120 percent ibw ...or BMI greater than 25.
 Kcal needs is based on adjusted body weight, but protein needs is based on ideal body weight.
 ==Kcal Needs(kcal/kg):==
+#basal m25 f20
+#normal weight maintenance: m30 f25.
-basal m25 f20
+#Ventilated m25-30 f same.
+#Stress m30-35 f same.
-normal weight maintenance: m30 f25.
+#trauma/sepsis m35-40 f same
+#extremely catabolic 40-45
-Ventilated m25-30 f same.
-Stress m30-35 f same.
-trauma/sepsis m35-40 f same
-extremely catabolic 40-45
 ==Protein Needs (g/kg)==
+#maintenance .8
+#hospitalized 1-1.5
+#trauma/stress/sepsis 1.2-2
+#closed head injury 1.4-2.2
+#renal failure (without dialysis) .8^
+#renal failure (with dialysis) 1.2-1.5
+#liver disease with out encephalopathy 1.2-2.0
+#hepatic encephalopathy .6-.8^
+^ may be greater with compounding medical conditions
-maintenance .8
-hospitalized 1-1.5
-trauma/stress/sepsis 1.2-2
-closed head injury 1.4-2.2
-renal failure (without dialysis) .8*
-renal failure (with dialysis) 1.2-1.5
-liver disease w/o encephalopathy 1.2-2.0
-hepatic encephalopathy .6-.8*
-* may be greater with compounding medical conditions
 ==Fluid Needs==
+*[[Intravenous fluids (main)]]
-adults 30 cc/kg
-elderly 25cc/kg
 ==Sedated Patients==
+#reduction in metabolic rate by as much as 30%.
+#propofol gives 1.1Kcal/cc
+#patients getting po dilantin should have their tube feeds held 1 hour prior to and 1 hour after it is administered.
+==See Also==
-reduction in metabolic rate by as much as 30%.
+*[[Nutrition (main)]]
-propofol gives 1.1Kcal/cc
-patients getting po dilantin should have their tube feeds held 1 hour prior to and 1 hour after it is administered.
 [[Category:FEN]]