Tube Feeding

# Tube Feeding - T ube Feeding Entral Tube Feeding 1st...

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Tube Feeding Entral Tube Feeding: 1 st determine dosage wt : 76kg (pt wt) pt is close to IBW so use CBW 2 nd determine kcal goal: Use a predictive equation (ie. MSJ) then come up with REE: REE= 1484kcal AF of 1.2= 1780kcal Use injury factor if need be 25-30 kcal/kg (another predictive equation) 1900-2280kcal/day Pick any kcal b/t 1700-2280kcal ( kcal goal) Use 1900kcal 3 rd determine protein goal .8-1g/kg protein .8(76) 1(76) : 60.8-76g protein 60.8(4)=243g- 76(4)=304g kcal from protein 243/1900=12.8- 304/1900= 16% energy from protein 4 th determine fluid goal no problem with edema, dehydration etc so use 1900ml (1ml/kg) Look in book; look at percent from protein to decide what to use; Use Jevity 1 (pg 48) b/c protein % is 16.7 which falls in the protein category Jevity 1: 16.7 energy from protein 1.06 cal/ml 1900/1.06= 1792 feed pt 1792ml or 1.79L water: look at water, g/mL/cc= 835 how much water is in 1.79L ( have to get it to L before you multiple by 835) (835) (1.79)= 1494.7 mL water

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Tube Feeding - T ube Feeding Entral Tube Feeding 1st...

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