Estimating Nutritional Needs

Question 1

10 Diagnosis and problems that increase risk of malnutrition?

Answer 1

Trauma
Anorexia
Stroke
Cancer
Hiv/Aids
Nausea/Vomiting/Diarrhea
Anemia
Diabetes
Kidney Disease
Liver Disease

Question 2

TDEE

Answer 2

Total Daily Energy Expenditure

Question 3

REE

Answer 3

Resting Energy Expenditure

Question 4

TEE

Answer 4

Thermic Effect of Exercise

Question 5

TED

Answer 5

Thermic Effect of Disease

Question 6

24 hours total energy expenditure=

Answer 6

TDEE=REExTEFxTEExTED

Question 7

How is REE Found?

Answer 7

Harris Benedict

Question 8

TEE activity factors?

Answer 8

1. Confined to bed: 1,2
2. Low Activity: 1.3 (Most people in hospital)
3. Moderate Activity: 1.5
4. High Activity: 2.0

Question 9

TED factors?

Answer 9

1. 1.2 Kcal: sig. wt. loss, major surgery, moderate infection, body trauma, cancer, COPD, ventilator, long bone fracture, severe open wound, HIV, burns20% of body, severe infection
2. 1.8-2.0: multiple fractures, burns over 20 % body, severe infection

Question 10

Protein Needs?

Answer 10

1. Adults: 0.8 g/kg/day
2. 65+: 1.0 g/kg/day
3. Major surgery, moderate infection and trauma, small open skin blisters, open wounds, dialysis, low alb/pre: 1.2 g/kg/day
4. Sever infections and trauma, major wounds and burns, very low alb/pre alb: 1.5-2.0

Question 11

Fluid Needs?

Answer 11

Normal: 30 mL/kg/day
Increased (Dehydration, diarrhea, draining wounds, fever, ostomy, burns): 35 mL/kg/day

• Always use CBW to estimate fluid needs unless:
• Edema
• Ascites
• Fluid Overload

Question 12

For all calculations use CBW unless?

Answer 12

1. Significant wt. change in a month
2. Edema, ascites, of fluid overload

*Then use UBW