Question

MH, a 56-year-old male, was admitted to the ICU for COPD. After 5 days MH was extubated, and transferred from the ICU, and today is recovering in the hospital on the medicine floor. MH has a history of HTN, smoking and pneumonia. MH’s height is 5’4", weight is 122#, UBW is 135#. MH has been on FormulaX at 25ml/hr continuously for 24 hours. FormulaX provides 1.2 kcal/mL, 0.0536 g protein/mL, and 80% free water. How many kcals would you recommend for MH today? In less than 75 words, explain why you suggest this amount?

Answer 1

To calculate the number of kcals recommended for MH today, we need to consider MH's energy needs. We can use the Harris-Benedict equation to estimate MH's resting energy expenditure (REE) and adjust for stress. Therefore, we recommend 1193.4 kcals for MH today.

Step-by-step explanation:

To calculate the number of kcals recommended for MH today, we need to consider MH's energy needs. We can use the Harris-Benedict equation to estimate MH's resting energy expenditure (REE):

(10 x 122) + (6.25 x 64) - (5 x 56) + 5 = 994.5 kcal/day

Since MH is recovering from COPD, we should account for an increase in energy expenditure. A common approach is to multiply the REE by a stress factor, such as 1.2 for a moderate stress. Therefore, we recommend 994.5 x 1.2 = 1193.4 kcals for MH today.