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Nutrition Calculation notes, Study Guides, Projects, Research of Dietetics

MNT projects that include calculations and assessment notes for nutrition therapy in future patients. Preparation for case studies and nutritional assessment.

Typology: Study Guides, Projects, Research

2021/2022

Uploaded on 09/12/2023

nayle-aranda
nayle-aranda 🇺🇸

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FDNT 441: MNT 1 Name: _Nayle Aranda_______
Assignment #4 /5 points
Nutrition Calculations Assignment
For each scenario, calculate:
Calories
Protein
Fluid
Include the rationale of why you chose the formula/calculation you used.
Please show all of your work.
1. 75 year old woman admitted with Altered Mental Status/ UTI, PMH of Dementia
UBW per hospital records 150 lbs (past 2 admissions in last 3 months)
Actual body wt upon current admission: 135 lbs. Height: 5’ 6’’ PO intake < 50% meals x 3
days. Reports poor appetite at home “for months”
BMI: 135/2.2=61.36kg
66x2.54/100= 1.68m
61.36/1.68m2= 21.7kg/m2 Normal
IBW: 130lbs
%IBW: 135lbs/130lbsx100%=103.85% Normal
Senior patient with Altered Mental Status/ UTI, and PMH of Dementia = Critically ill with
normal BMI and %IBW
CALORIES: ASPEN because Penn State is not possible due no data of Tmax.
BMI <30 = 25 – 30 kcal/kg actual weight
25 x 61.36kg = 1534kcal – 30 x 61.36kg=1840.8kcal
Total calorie requirement: between 1500kcal-1800kcals/day
PROTEIN: Older adult = 1g/kg
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Assignment #4 /5 points Nutrition Calculations Assignment For each scenario, calculate:  Calories  Protein  Fluid  Include the rationale of why you chose the formula/calculation you used. Please show all of your work.

  1. 75 year old woman admitted with Altered Mental Status/ UTI, PMH of Dementia UBW per hospital records 150 lbs (past 2 admissions in last 3 months) Actual body wt upon current admission: 135 lbs. Height: 5’ 6’’ PO intake < 50% meals x 3 days. Reports poor appetite at home “for months” BMI: 135/2.2=61.36kg 66x2.54/100= 1.68m 61.36/1.68m2= 21.7kg/m2Normal IBW : 130lbs %IBW: 135lbs/130lbsx100%= 103.85%Normal Senior patient with Altered Mental Status/ UTI, and PMH of Dementia = Critically ill with normal BMI and %IBW CALORIES: ASPEN because Penn State is not possible due no data of Tmax. BMI <30 = 25 – 30 kcal/kg actual weight  25 x 61.36kg = 1534kcal – 30 x 61.36kg=1840.8kcal Total calorie requirement: between 1500kcal-1800kcals/day PROTEIN: Older adult = 1g/kg

Assignment #4 /5 points  1 x 61.36kg= 61.4kcal Total Protein requirements: 60 grams/day FLUID: Age method = 30mL/61.36kg =1840.8mL/day  1800 mL/day equal to 7 glasses of water (250ml) per day Total Fluid requirements: 1800

  1. 58-year-old male 5’9” 184 lbs with history of type 2 diabetes. Complains of a decreased appetite due to bloating and discomfort after eating for the last 5 months. He reports his normal weight 5 months ago was 192 lbs. BMI: 184lbs/2.2=83.6kg 69inx2.54/100= 1.75m 83.6/1.75m2= 27.29kg/m2  Normal %Weight Change: (192-184=8lbs)/192lbsx100%= 4.16% Not significance weight loss in 3 months. Patient with DMTII with no significance weight loss and normal BMI. CALORIES: ASPEN because no data about AF or IF. BMI <30 = 25 – 30 kcal/kg actual weight  25 x 83.6kg = 2090 kcal – 30 x 61.36kg=2508kcal Total calorie requirement: between 2090 – 2500 kcals/day PROTEIN: Adult maintenance = 0.8g - 1g/kg  0.8 x 83.6kg = 66.88gr – 1 x 83.6kg= 83.6kcal Total Protein requirements: 67 – 84 grams/day

Assignment #4 /5 points Total Fluid requirements: 2600mL

  1. 70-year-old male with a L-foot amputation (1.5%). He is 5’11” and 175 lbs. BMI: 175/2.2=79.55kg 71inx2.54/100= 1.80m 79.55/1.8m2= 24.55kg/m2  Normal Estimated IBW: 0.985% x 172=169.4lbs = 175/169.4 x 100% = 103%IBW Senior patient with a L-foot amputation (1.5%) and normal BMI and %IBW CALORIES: ASPEN (or Mifflin-St Jeor if AF and IF were provided.) BMI <30 = 25 – 30 kcal/kg actual weight  25 x 79.55kg = 1988.75kcal – 30 x 79.55kg =2386.5 kcal Total calorie requirement: between 1890kcal - 2390kcals/day PROTEIN: Older adult = 1g/kg  1 x 79.55kg= 79.6kcal Total Protein requirements: 80 grams/day FLUID: Age method = 30mL/79.55kg =2386.5mL/day  2390 mL/day equals to 9-10 glasses of water (250ml) per day Total Fluid requirements: 2390mL