Overview of Nutrition Therapeutics

Question 1

BMI

Answer 1

• 19-24.9: Healthy weight
• 17-18.9: mild malnutrition
• 16-16.9: moderate malnutrition
• <16: severe malnutrition

Question 2

Effect of disease state in energy requirements

Answer 2

-burn patients are high need

Question 3

Kcal/kg/day

Answer 3

• healthy: 20-25
• stress, BMI<30 (25-30)
• BMI 30-50 (11-14 ABW)
• BMI > 50 (22-25 IBW)

Question 4

Burns based in BSA

Answer 4

• 25-25 BMI < 30

- 21 BMI > 30

Question 5

Effect of disease state on protein requirements

Answer 5

*burn patients

Question 6

Protein

Answer 6

g/kg/d

• 1.2-2 in critical illness
• 2.5-3.5 in burns
• BMI 30-40 = 2g/kg IBW
• BMI >40 = 2.5g/kg IBW

Question 7

24 hr urine collection for urea nitrogen or total nitrogen

Answer 7

multiply nitrogen excretion by 6.25 to determine protein

• UUN + 4
• TUN * 1.05

Question 8

Fat requirements

Answer 8

• total fat calories per day

- 10-35% of total calories in adults

Question 9

Usual fluid requirements

Answer 9

30-40 ml/kg/day or 1 ml/kcal/day