a.

Enteral Nutrition Homework

Medical Nutrition Therapy II
Due Date: Jan 28, 2014

Name: ________________________________

Case Study Information: A 70 year old female has had surgery to remove an adrenal carcinoma
(cancerous tumor of the adrenal gland). Her ideal body weight is 64 kg. She is 172 cm. Her
calculated protein needs are 77 g/day. The patient has been NPO on fluids and electrolytes for 4
days. Vital signs are stable. GI motility is apparent. The physician recommends tube feeding,
and recommends Nutren 1.0 as the formula of choice. Below is the product information for this
formula.
Product
Nutren
1.0

Concentratio
n
1.06 kcal/ml

Protein
16%
kcal

Carbohydra
te
51%
kcal

Fat
33%
kcal

Osmolalit
y
330
mOsm/L

% Free
Water
85%

Calculate the patients calorie needs. (4 pt.)

The Harris Benedict equation is: 655 + 9.6 (wt) + 1.9 (ht) 4.7 (age);
Assume a stress factor of 1.3.

b.

Calculate the patients daily fluid requirements (4 pts.).

c.

Determine how many mls of formula will be needed to meet her caloric needs (4
pts.).

d. How much free water will this provide this patient and how much free water will be
needed from additional fluid sources (4 pts.)?

e.

How much protein will be provided from this formula (g/day)? Given the
calculate protein needs of the patient indicated above, is this formula a good choice?
Please explain your answer (4 pts.)