A nutrition consult was completed on 3/27, and enteral feedings were initiated. Mr. Hayato was started on Isosource HN @ 25 cc/hr continuously over 24 hours
What will be an ideal response?
a. At this rate, how many kcal and grams of protein should he receive per day?
• Isosource HN provides 1.2 kcal/mL and 0.0536 g protein/mL (18% total kcal).
• 25 cc/hr provides 720 kcal and 32 g protein.
b. Calculate his nutrition prescription utilizing this enteral formula. Include the goal rate, free water requirements, and the appropriate progression of the rate.
• Goal rate would be 56 cc/hr, which would provide 72 g protein, 1613 kcal, and 1344 mL of formula .
• Isosource HN contains 818 mL water per L, so 1344 mL of formula would provide 1099 mL of water.
• Using 1600 mL as his fluid requirements, he will need an additional 500 mL of water.
• The rate should be progressed by 10 mL/hr for every 8 hrs. This lower rate of progression may help as he appears to have gastric emptying issues.
You might also like to view...
The recommended diet for a person with calcium stones is relatively low in:
a. dietary fiber and calcium. b. animal protein and oxalates. c. purine and phosphorus. d. methionine and cystine.
Which of the following statements is true of trace minerals?
A) They are needed by the body in smaller amounts than macronutrients. B) Overall they amount to less than 5 grams in the body. C) Their daily dietary need is less than 20 milligrams. D) All of the above are true of trace minerals.
The first step in program planning is ____
a. development of a management system b. defining program goals c. review of a community needs assessment d. identification of funding sources
At what point during pregnancy is adequate folate MOST important?
A) during the first four weeks after conception B) immediately prior to delivery C) during the third trimester D) during the second trimester