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Computation For DBW

1) The document computes the desirable body weight of a patient using different methods and finds it to be between 56kg and 58kg. 2) It then calculates the patient's BMI based on their current weight and height of 65.25kg and 162.56cm, respectively, and finds them to be overweight. 3) It outlines the patient's daily calorie and macronutrient requirements while hospitalized and after discharge when resuming an inactive lifestyle.
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100% found this document useful (5 votes)
21K views

Computation For DBW

1) The document computes the desirable body weight of a patient using different methods and finds it to be between 56kg and 58kg. 2) It then calculates the patient's BMI based on their current weight and height of 65.25kg and 162.56cm, respectively, and finds them to be overweight. 3) It outlines the patient's daily calorie and macronutrient requirements while hospitalized and after discharge when resuming an inactive lifestyle.
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© © All Rights Reserved
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A.

Computation for desirable body weight (DBW)


Tannhausers Method
DBW= {[Height(cm)-100]-[0.10 (Height (cm)-100]}
Height: 54 = 64 in x 2.54cm/in =162.56 cm
DBW = { [162.56 cm 100] [0.10 (162.64 cm -100)}= 56.296 kg = 56 kg
0.9x62.56

NDAP
For Men: 5 ft = 112 lbs + or 4 lbs for every inch above or below 5 ft
DBW= 112 lbs + [(4 lbs)(4)]
DBW= 128 lbs or 58 kg

B. Compute BMI, interpret


65.25 kg, current body weight
162.56 cm, current height
65.25kg/2.643m^2 = 24.688, 24.7 (overweight according to Asia-Pacific)

C. Compute his daily caloric requirement while he is hospitalized.


TOTAL CALORIES: 35 kcal/kg per day x 56.3 kg = 1970.5 kcal
PROTEIN: 1.0 g/kg x 56.3 kg = 56.3 g/day x 4.0 kcal/g = 225.5 kcal CHON

D.
Protein: 56.3 x 1= 56.3 g x 4= 225cal
=1970.5-225.5= 1745
CHO: (1970-225) x (.7)= 1221.5/4= 305.38 = 305 g of CHO
FAT: (1970 -225) x (.3)= 523.65/9= 58.18 = 58 g of FAT

E. When he is discharged and resumes a very inactive lifestyle, prescribe his home
diet\
Calories: 56.3 kg/ 30 = 1689 kcal

Protein: 56.3 kg x 1= 56.3 x 4= 225.2 cal


CHO: (1689-225.2) x 0.7 = 1024.66/4= 256/17 g CHO
Fat: (1689-225.2) x 0.3 = 439.14/9 = 48.79 g Fat

F.
125 kcal in excess/ day x 7 days / 1 week = 875 kcal /week
875 kcal x 0.5 lb/1750 kcal = 0.25 lb /week
0.25 lb / week x 52 weeks / 1 year = 13 lbs/ year
145 + 13(1) = 158 lbs estimated weight after 1 year

G.
BMI = weight (kg) / height (m)2
=

(155 lbs)(1 kg /2.2 lbs)/[(64 inches)(1 m/0.0254)] 2


= 26.6 Overweight

H.
16 oz. Coke
1 regular cheeseburger
1 hot fudge sundae
1 serving onion rings

200
320
290
175
985

kcal
kcal
kcal
kcal
kcal

985 kcal/ (56*30) = 58.6% of daily kcal allowance

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