Question

Medical nutrition theraphy question using ADIME format ~parenteral nutrition

Case 2: Mr. His a 60 year old male with an acute ileus s/p surgery for mesenteric ischemia. His height is 5' 10' and weight 160 lbs. Nutrition labs upon admission were WNL His physician has ordered the following peripheral parenteral nutrition order: 10% Dextrose 3 amino acids at 90 cc per hour with 500 ml of 10% lipids a 24 hrs. 1. Calculate Mr. H's energy, protein and fluid needs. Show your method of calculation 2. What is the total volume of the devtrase and amino acid solution he will receive in 24 hours? 3. How many kcal will he receive from the dextrose? 4. How many grams of protein and kcal will he receive from the protein? 5. How many kcal will he receive from the fat? 6: What is the total osmolality per liter of the solution? Is this within the acceptable range? 7. What recommendations, if any, would you make for this peripheral parenteral nutrition order?

Answer 1

10% dextrose +30% amino acid qoce per hour with soont of 10% 8 24 hours at per tiquiple. → In 24 hour total loldex troose is qoce x 24 =2160 ce 2016 Liter Total osmolarity will be - 5052016 =1090.8 cale So, No this is not the aceptable range Po 7. Nutritional needs depends on the activity level, pattern of life style and person's age, sex, neight, weight and BMI etc. 3. dextroose there hasse no solution In Kel 2. Total volume amino acid 24 hours i of dextrose and patient will received in 90@ex 24 me - 2160 m = 2.16L