Calculate Mr. Y's BEE using the Harris-Benedict equation. Calculate his total daily energy expenditure using the appropriate stress factor
BEE = 66 + [13.7 × 61.4]+ [5 × 167.6] - [6.8 × 52] = 66 + 841.2 + 838 - 353.6 = 1392
= 1392 × 1.3 - 1.5 = 1810 - 2088 kcals
Since Mr. Y has CHF and has not eaten in four days, a conservative approach using a stress factor of 1.2 and gradual increase could also be justified.
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