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Nutrition

Nutrition. Nutrition. Nutrition. Nutrition: NRS, 2002 ESPEN Guideline. Nutrition: NRS, 2002 ESPEN Guideline. Nutrition. Rapid Estimation of adult total daily calorie and protein requirement. Calculating total energy allowance and protein, carbohydrates, and fats requirement.

emmanuel-manning
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Nutrition

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  1. Nutrition

  2. Nutrition

  3. Nutrition

  4. Nutrition: NRS, 2002 ESPEN Guideline

  5. Nutrition: NRS, 2002 ESPEN Guideline

  6. Nutrition Rapid Estimation of adult total daily calorie and protein requirement • Calculating total energy allowance and protein, carbohydrates, and fats requirement Total energy allowance = Weight (kg) x Caloric requirement Total energy allowance = 35 x 45(kcal/kg/d)= 1575 kcal Protein ( 1.0 – 1.5 g/kg/d) = (35 x 1.5) x 4; Protein = 210 kcal Carbs= [(Total energy allowance – Calories from protein) x 0.7] / 4 Carbs = (1575 – 210) x (0.7) = 955 / 4 = 239 g CHO Fats (30-40% of non-CHON calories) = [(Total energy allowance – Calories from protein) x 0.3] / 9 Fats = (1575 – 210) x (0.3) = 409.5 / 9 = 45.5 g Fats

  7. Nutrition • Monitoring: Laboratory parameters, Body weight improvement, Functional status • Laboratory parameters (serum albumin, lymphocyte, cholesterol, transferrin, iron-binding capacity)

  8. General goal: Restore the patient’s nutritional, metabolic and functional status. • Specific goals: 1. Provide the needed total caloric need to the patient following the macronutrient requirements of protein 15-20%, fats-30-35%, carbohydrates 50-60% of total calories. 2. Prevent complications of electrolyte and metabolic derangement that could lead to potentially life-threatening situations. 3. Prevent further complications of malnutrition such as muscle wasting • Surgical operation • Relief from obstructive symptoms • Prevention of malabsorption caused by ileocecal TB • Nutritional delivery must prepare the patient for the surgical operation (monitoring of serum albumin) • VitB12 supplementation given post-surgery (since Vit B12 absorption is impaired in the terminal ileum)

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