Calculate RK's caloric and protein needs at admission and when he was transferred to a ward
Upon admission to the hospital:
BEE = 66 + [13.7 × wt] + [5 × ht] - [6.8 × age]
= 66 + [13.7 × 81.8] + [5 × 180] - [6.8 × 25]
= 66 + 1120.7 + 900 - 170 = 1916
CHI usually requires a lot of kcals. Stress factor = 1.7 - 2.0 1916 × 1.8 = 3450 kcals
Upon transfer to the ward:
BEE = 66 + [13.7 × 61] + [5 × 180] - [6.8 × 25]
= 66 + 835.7 + 900 - 170 = 1632
RK was transferred to a ward after he recovered from the initial trauma but was still suffering from the results of the trauma. That is, his BEE was probably normal or sub normal now with very little exercise. It would take less kcals to maintain RK now than it did prior to his accident. Therefore: Stress factor = 1.2 × 1632 = 1958
Much of RK's weight loss was muscle. Much of the weight he gained back was fat. With a smaller than normal amount of muscle mass and inactivity, he may continue to gain weight on this amount of kcals and his intake may have to be decreased.
Concerning his protein needs, upon admission: 81.8 × 1.7 = 139 g/d
Upon transfer to the ward: 61 × .8 = 49 g/d
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