Critical Care Medicine-Gastrointestinal, Nutrition and Genitourinary Disorders>>>>>Nutrition in Critical Illness
Question 2#

A 39-year-old 80-kg trauma patient is intubated and sedated in the ICU. You are planning to start enteral nutrition.

What is his daily calorie goal that you need to meet with tube feeding?

A. 2100 kcal/d
B. 1800 kcal/d
C. 2600 kcal/d
D. 1500 kcal/d

Correct Answer is A

Comment:

Correct Answer: A

The American Society of Enteral and Parenteral Nutrition recommends the usage of a simple formula to predict calorie needs when indirect calorimetry is not available. Using 25 to 30 kcal/kg/d with the patient’s dry or usual body weight allows easy calculation of an appropriate calorie range. 

Reference:

1. McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. JPEN J Parenter Enteral Nutr. 2016;40:159-211.