28. Mr. O is a 72-year-old male admitted to the hospital after experiencing a ce
ID: 138537 • Letter: 2
Question
28. Mr. O is a 72-year-old male admitted to the hospital after experiencing a cerebral vascular accident (CVA). A duotubs was placed after he failed his swallow evaluation with a plan for PEG tube placement before discharge. Mr. O has a history of cardiovascular disease (CVD), hypertension (HTN) and diverticulosis. He denies changes in appetite, intake and body weight prior to admission. Anthropometric data: Ut 5"8Wt 163 lb BMI: 24.8 kgim2 Estimated daily needs: Energy: 1850 kcal-2000 kcal, Protein: 74 g-89 g, Fluid: 2000 ml a. Which of the following formulas would be the best choice for Mr. O? Why? Choices include: Replete with Fiber, EibersousE HN, Nutren 2.0, Jexitu 1.5, Peptamen, Pulwocare (I point Calculate the amount of formula (total mL/day) required and the rate ofdelivery (# mlbofor how many hours). (SHOW YOUR WORK!) poin) b. e. Calculate the following using the formula and goal rate chosen from 4-b above. (4points) Calculation Answer Energy (kcal) Free water (mL) Will this formula meet Mr. O's fluid needs? If not, what are your recommendations for additional fluid intake?Explanation / Answer
A, fibersource HN
Jevity 1.5
These formulas perfect for tube feeding patient with abnormal bowel function, neurological impairment or developmentally disabled may be used for long-term feeding..
B, calorie requirement : 1850-2000(kcal/ day)
Fluid 2000/ day
2000 kcal/ day/24 hours/ day = 83ml/ hr
83ml/ hr X 24h/ day = 1992ml/ day
C, energy ( kcal) = 1799 kcal/ day
Protein. = 59-74 grams/ day
But estimated daily needs protein is 74-89 grams/ day
Free water =2520ml
Mr.O protein intake is less.so it should be increased to meet the fluid needs.. increase the protein source like formula milk,and supplemental protein mixes..