# (SOLVED) Mr. O is admitted to your hospital after a motorcycle accident. He has multiple broken bones and underwent surgery

Discipline: Nutrition/Dietary

Type of Paper: Question-Answer

Academic Level: Undergrad. (yrs 1-2)

Paper Format: APA

Pages: 2 Words: 362

Question

Mr. O is admitted to your hospital after a motorcycle accident. He has multiple broken bones and underwent surgery to control abdominal bleeding and to remove part of his small intestine. He is currently NPO and you need to recommend a parenteral feeding to be administered via a central line (TPN).

You’ve calculated his kcal needs at 30 kcal/kg, protein needs at 1.5 gm/kg and fluid needs at 1 ml/kcal per day. You only want 25% of calories to come from fat. His weight is 65 kg.

Recommend a two-in-one TPN prescription that would most closely meet the estimated nutritional needs.

Provide the goal rate and amount of hours for dextrose/amino acids and lipids.

Provide total energy, grams of amino acids, grams of dextrose, glucose infusion rate, grams of fat, lipid infusion rate, and NPC:N ratio that would be supplied by the TPN formula.

Show ALL calculations in the space below.

Expert Solution Preview

Computing calorie needs:

Calories required = 30 kcal/kg x 65 kg = 1950 kcal/day

25% of calories from fat = 1950 kcal/day x 0.25 = 487.5 kcal/day

75% of calories from non-fat sources = 1950 kcal/day - 487.5 kcal/day = 1462.5 kcal/day

To get the absolute calorie needs from non-fat sources, partition by 2 (since...........................