Question

Mrs Smith is receiving full strength Jevity 1.2 at 65 mL/hr s 24 hours in the hospital. She is going to go home on nocturnal feedings. Set up a feeding regimen that provides similar kcals, protein, and water over 14 hours as her hospital regimen. Provide free water equal to 1 ml per kcal of feeding.

*Is Mrs Smith meeting the RDI for vitamins & minerals??

Answer 1

Nocturnal feeding means feeding at the night.

It is given Mrs. Smith is receiving full strength Jevity 1.2 at the rate of 65mL per hour for 24 hours in the hospital.

This means she is receiving a total of 1,560mL of Jevity in 24 hours at the hospital. because 65*24 = 1,560.

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Now for the nocturnal feed at home, she needs to be given 1,560mL of Jevity 1.2 within 14 hours time duration.

Since the 1560 mL is to be given in total for 14hours, therefore per hour feed will be:

1560/14 = 111.429 = 111.5mL

Therefore, she needs to be given 111.5mL per hour during her nocturnal feeding of 14 hours.

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Free water should be 1mL per kCal of feed. Therefore, we need to calculate the number of kCal in the feed of one day to determine how much free water needs to be given to her. Free water is used to flush every few hours routinely.

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Jevity 1.2 Cal has the following nutritional value information/facts/claims:

• concentrated calories = 1.2 Cal/mL
• high protein = 18.5% of Cal
• 17 g total dietary fiber/L
• It meets or exceeds 100% of the RDIs for 25 essential vitamins and minerals in 1500 Cal (1250 mL).

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Based on the above information, the total number of calories will be as below:

1mL has 1.2 Cal

thus, 1560mL will have 1,560 * 1.2 = 1,872 Cal

now, in kCal 1872 Cal will be 1.872 kCal.

therefore, as given that 1mL free water is to be given per kCal. Thus she should be given 1.872mL water in total.

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Yes, she is meeting or exceeding the 100% of RDI for vitamins and minerals because as per the nutritional facts given, only 1500 Cal will be enough to meet or exceed the requirements and she is getting 1872 Cal already.

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