Question

2.     Using the Penn-State Equation, calculate energy needs for the following case: 67 year old male, 5’9” tall, 156#. (97.5% IBW). His maximum temperature is 38.9 degrees C, minute ventilation is 15 L/min.

Answer 1

Start nourishment provision at ≤10 kcal/kg/daytime, upsurge stages gradually to encounter or surpass full supplies by day 4 to 7.

Reinstate vascular volume and observe fluid equilibrium and general scientific position carefully.

Given that instantaneously beforehand and throughout the primary 10 beings of nourishing: oral thiamine 300 mg every day, or occupied dose everyday intravenous vitamin B groundwork, one to two braces once to three periods every day for 4 to 5 days. Give a stable multivitamin/trace component complement just the once every day.

Deliver spoken, enteral or vein additions of potassium, phosphate and magnesium except pre-feeding plasma levels are in elevation. Pre-feeding alteration of stumpy plasma ranks is pointless, but little levels need be accompanied as they happen through refeeding.

Whether kcal/kg, secondary calorimetry or usage of prognostic reckonings must be used to measure supplies in ICU remnants indistinct.

For tremendously overheavy or skinny patients, or patients with plain sepsis then/or multi-organ dysfunction condition, approximating supplies is additional problematic. Unintended calorimetry may be helpful for these patients, but is frequently unobtainable and is not suitable for sure patients. Clinical ruling and close nursing of these patients is supreme.