Calculate Mrs. Maney's energy and protein requirements. Explain your rationale for the weight you have used in your calculation
What will be an ideal response?
• Mrs. Maney's IBW (50 kg) is used for calculations as her current weight is masked by fluid retention. This is within 10% of her current weight.
• Energy: energy needs for cardiac cachexia may be calculated using the American Chest Physician's nomogram. 50 x 25 = 1250 kcal 50 x 35= 1750 kcal Range: 1250-1750 kcal
• Protein: AND EAL recommends 1.37 g/kg for heart failure patients.
47.7 kg x 1.37 = 65 g/day
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