Do you feel that Mrs. Maney may benefit from enteral feeding? What guidelines would you use to make this decision? Outline a nutrition therapy regimen for her that includes formula choice, total volume, and goal rate
What will be an ideal response?
• Yes, Mrs. Maney would benefit from enteral feeding since she is consuming < 5% of her meals and consumed < 27% of her energy needs prior to admission
• ASPEN guidelines should be used to make this decision; since she is malnourished and critically ill at admission
• Formula choice: Two-Cal HN (high-protein formula that provides 2 kcal/mL) = 1800 kcal
• Total volume: 900 mL
• Goal rate: 38 mL/hr
• Osmolality of Two-Cal NH is 725 mOsm/kg H2O; therefore, the initial rate should be 20 mL/hr for first 8 hours, then advanced 10 mL/hr every 4 hours until goal rate is reached.
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Answer the following statement true (T) or false (F)
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