Estimating Energy and protein needs

Question 1

How to determine energy needs for standard risk acute care: adults?

Answer 1

25-35 kcal/kg. Use IBW if obese.

Question 2

Standard risk acute care: Activity factor for confined to bed

Answer 2

1.2

Question 3

Standard risk acute care: Activity factor for out of bed

Answer 3

1.3

Question 4

Standard risk acute care: Injury factors

Answer 4

Minor operation 1.2. Skeletal trauma 1.3. Major surgery 1.4. Sepsis 1.6

Question 5

Standard risk acute care: 0-12 months

Answer 5

90-100 kcal/kg

Question 6

Standard risk acute care: 13-24 months

Answer 6

80-90 kcal/kg

Question 7

Standard risk acute care: 25-36 months

Answer 7

70-74 kcal/kg

Question 8

Standard risk acute care 4-6 years

Answer 8

65-68 kcal/kg

Question 9

Standard risk acute care 7-10 years

Answer 9

55-60 kcal/kg

Question 10

Standard risk acute care > 11 years

Answer 10

30-40 kcal/kg

Question 11

Method for intensive care - normal wt

Answer 11

25-35 kcal/kg. Predictive equations: Penn State, if mechanically vented; Ireton-Jones

Question 12

What is the stress factor for the Penn State &/or Ireton-Jones equations?

Answer 12

There is no stress factor because they were developed from critically ill patients.

Question 13

Method for intensive care - obese

Answer 13

Permissive underfeeding. EN, give 22-25 kcal/kg of Ideal Body Weight for BMI > 30.

Question 14

Energy for pre-dialysis

Answer 14

35 kcal/kg Standard Body Weight

Question 15

Energy for HD/PD

Answer 15

30-35 kcal/kg Standard Body Weight

Question 16

Formulas for energy estimation in burns

Answer 16

Curreri, or modified Harris-Benedict

Question 17

Curreri formula

Answer 17

(25 kcal/kg body wt.) + (40 kcal x % TBSA)

Question 18

Burn factor for Harris-Benedict

Answer 18

< 20% 1.2 20-25% 1.6, etc to >40% 2.0

Question 19

Protein: At risk/Acute care

Answer 19

1.5 - 2.0 g/kg

Question 20

Protein: Minor Surgery

Answer 20

1.0 - 1.1 g/kg

Question 21

Protein: Major Surgery

Answer 21

1.2 - 1.5 g/kg

Question 22

Protein: Burns/large wounds

Answer 22

1.5 - 2.0 g/kg

Question 23

Protein: Permissive Underfeeding

Answer 23

1.5 - 2.5 g/kg Ideal Body Weight

Question 24

Protein RDA: 0-6 months

Answer 24

2.2g/kg

Question 25

Protein RDA: 6mo - 1 yr

Answer 25

1.5 g/kg

Question 26

Protein RDA: 1 - 3 yr

Answer 26

1.23 g/kg

Question 27

Protein RDA: 4 - 6 yr

Answer 27

1.2 g/kg

Question 28

Protein RDA: 7 - 14 yr

Answer 28

1.0 g/kg

Question 29

Protein RDA: 15 - 18 yr

Answer 29

0.8 g/kg Same as adults over 15 years of age

Question 30

Protein for At-risk/Acute care: 0 - 2 yr

Answer 30

2.0 - 3.0 g/kg

Question 31

Protein for At-risk/Acute care: 2 - 13 yr

Answer 31

1.5 - 2.0 g/kg

Question 32

Protein for At-risk/Acute care: 13 - 18 yr

Answer 32

1.5 g/kg

Question 33

Protein for minor/major surgery in children?

Answer 33

No specific guidelines

Question 34

Protein for burns: 0 - 6 yr

Answer 34

3.0 - 4.5 g/kg

Question 35

Protein for burns: > 6 yr

Answer 35

2.5 - 3.0 g/kg