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    Practice Enteral and Parenteral Calculations

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    Raven
    1. A patient requiring an enteral formula is calculated to need 1848 kcal/day provided as 1540 mL of Glucerna at 70 mL/hr along with 608 mL of free water at 28 mL/hr. 2. A second patient needing an enteral formula is calculated to require 2297 kcal/day with 106 g of protein provided as 1914 mL of Jevity at 87 mL/hr along with 752 mL of free water at 34 mL/hr, which can also be provided as 8 cans of bolus feed per day. 3. A TPN for a third patient is calculated to contain 5% protein, 15% dextrose and 293 mL of 20% IL lipids

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    Practice Enteral and Parenteral Calculations

    Uploaded by

    Raven
    299 views2 pages
    1. A patient requiring an enteral formula is calculated to need 1848 kcal/day provided as 1540 mL of Glucerna at 70 mL/hr along with 608 mL of free water at 28 mL/hr. 2. A second patient needing an enteral formula is calculated to require 2297 kcal/day with 106 g of protein provided as 1914 mL of Jevity at 87 mL/hr along with 752 mL of free water at 34 mL/hr, which can also be provided as 8 cans of bolus feed per day. 3. A TPN for a third patient is calculated to contain 5% protein, 15% dextrose and 293 mL of 20% IL lipids

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    Medical Nutrition Therapy

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    1. A patient requiring an enteral formula is calculated to need 1848 kcal/day provided as 1540 mL of Glucerna at 70 mL/hr along with 608 mL of free water at 28 mL/hr. 2. A second patient needing an enteral formula is calculated to require 2297 kcal/day with 106 g of protein provided as 1914 mL of Jevity at 87 mL/hr along with 752 mL of free water at 34 mL/hr, which can also be provided as 8 cans of bolus feed per day. 3. A TPN for a third patient is calculated to contain 5% protein, 15% dextrose and 293 mL of 20% IL lipids

    Copyright:

    © All Rights Reserved
    299 views2 pages

    Practice Enteral and Parenteral Calculations

    Uploaded by

    Raven
    1. A patient requiring an enteral formula is calculated to need 1848 kcal/day provided as 1540 mL of Glucerna at 70 mL/hr along with 608 mL of free water at 28 mL/hr. 2. A second patient needing an enteral formula is calculated to require 2297 kcal/day with 106 g of protein provided as 1914 mL of Jevity at 87 mL/hr along with 752 mL of free water at 34 mL/hr, which can also be provided as 8 cans of bolus feed per day. 3. A TPN for a third patient is calculated to contain 5% protein, 15% dextrose and 293 mL of 20% IL lipids

    Copyright:

    © All Rights Reserved
    of 2

    Practice Enteral and Parenteral Calculations

    1. Patient: 163 lbs, 5’4”, T2DM, Cardiovascular Disease


    BMI: kg/m2 → (163 lbs/2.2 =74 kg) | 5’4’’ = 64 in x 2.54 = 163 cm x 0.01 = 1.63| (1.63)2= 2.66
    m 2| BMI = 74 kg /2.66 m2= 27.8 kg/m2
    Evaluate: 27.8 falls within overweight category, therefore lower end of range (25-30 kcal/kg)
    Calories (kcal): 25 x 74 kg = 1850 kcal/day
    Enteral Formula: Glucerna 1.2 cal (cal/mL =1.2)
    1850 kcal/1.2 = 1542 estimated volume | 1542 mL/22 hr feed = 70 mL/hr
    Check Work: 70 mL/hr x 22 hr feed = 1540 mL Glucerna x 1.2 = 1848 kcal/day
    Free water: 1 L Glucerna 1.2 = 805 mL free water
    1540 mL x 0.001 = 1.54 L x 805 mL/L = 1240 mL free water
    (1 kcal = 1 mL H20) 1848 mL total – 1240 mL free water = 608 free water required
    608 mL/22 hr feed = 28 mL/hr water
    Summary: 1848 kcal/ day, 1540 mL Glucerna (70 mL per hour), 608 mL free water required (28
    mL per hour)
    2. Patient: age 28, 202 lbs, 6’2”, Pancreatitis/abd pain w/o wt loss 4 days, 2 meals with
    multiple snacks daily
    BMI: kg/m 2 → (202 lbs/2.2 =92 kg) | 6’2’’ = 74 in x 2.54 = 188 cm x 0.01 = 1.88| (1.88)2= 3.53
    m 2| BMI = 92 kg /3.53 m 2= 26 kg/m 2
    Evaluate: 26 falls within overweight category and since no weight loss, lower end of range (25-
    30 kcal/kg)
    Calories (kcal): 25 x 92 kg = 2300 kcal/day
    Protein: 1 g x 92 kg = 92 g protein/day
    Enteral Formula: Jevity 1.2 cal (cal/mL =1.2)
    2300 kcal/1.2 = 1917 estimated volume | 1917 mL/22 hr feed = 87 mL/hr
    Check Work: 87 mL/hr x 22 hr feed = 1914 mL Jevity x 1.2 = 2297 kcal/day | 1.914 x 55.5 g =
    106 g protein/day
    Free water: 1 L Jevity 1.2 = 807 mL free water
    1914 mL x 0.001 = 1.914 L x 807 mL/L = 1545 mL free water
    (1 kcal = 1 mL H20) 2297 mL total – 1545 mL free water = 752 free water required
    752 mL/22 hr feed = 34 mL/hr water
    Bolus Feed: 8 fl oz Jevity 1.2 = 285 kcal
    2300 kcal/285 = 8 cans x 191 mL water (per 8 fl oz) = 1528 mL free water
    285 kcal x 8 = 2280 kcal → 2280 mL -1528 mL = 752 mL water / 22 hr feed = 34 mL/hr water
    Summary: 2297 kcal/ day, 106 g protein/day, 1914 mL Glucerna (87 mL per hour), 752 mL free
    water required (34 mL per hour) bolus feed
    3. TPN Patient: age 35, 5’9”, abd pain/diarrhea/Crohn’s Disease/ SBR 3 days, UBW
    166-168 lbs, current wt 144 lbs
    Calories (kcal): 20+ lb wt loss therefore higher range (25-30 kcal/day) 144/2.2 = 65 kg
    65 kg x 30 = 1950 kcal/day
    Protein: (1.25 – 1.5 g/kg) 1.5 g x 65 kg = 98 g protein
    98 g protein/1950 mL x 100 = 5% protein (98 x 4 =392 kcal, 1950 – 392 = 1558 kcal remaining)
    Lipids: 65 kg x 9 = 585 kcal/2 =293 mL (20% IL) (1558 kcal – 585 = 973 kcal remaining)
    Dextrose: (3.4 kcal/g dextrose) 973 kcal/ 3.4 = 286 kcal/g dextrose
    286/1950 mL x 100 = 15% dextrose
    Summary: 5% protein, 15% dextrose, 293 mL 20% IL TPN
    4. TPN Patient: age 47, 5’11”, SBO w/ UBW 175 lb 5 days, current wt 173 lbs
    Calories (kcal): decreased nutrient intake over 5 days, therefore higher range (25-30 kcal/day)
    173/2.2 = 79 kg x 30 = 2370 kcal/day
    Protein: (0.8– 1 g/kg) 0.8 g x 79 kg = 63 g protein
    63 g protein/2370 mL x 100 = 2.7% protein (63 x 4 =252 kcal, 2370 – 252 = 2118 kcal
    remaining)
    Lipids: 79 kg x 9 = 711 kcal/2 =355.5 mL (20% IL) (2118 kcal – 711 = 1407 kcal remaining)
    Dextrose: (3.4 kcal/g dextrose) 1407 kcal/ 3.4 = 413 kcal/g dextrose
    413/2370 mL x 100 = 17% dextrose
    Summary: 2.7% protein, 17% dextrose, 356 mL 20% IL TPN

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