The initial fluid requirement estimation is calculated using the following equation note that volumes are cumulative : 2. There is a significant amount of controversy regarding the nutritional requirements of obese patients. In contrast, the use of actual body weight will result in an overestimation of caloric requirements. Show AMA citation. Press 'Calculate' to view calculation results. Load an Example. At risk for refeeding syndrome Pediatrics.
Concurrent enteral nutrition Impaired fluid management hypervolemia, CHF. Clin Nutr. PMID The maintenance need for water in parenteral fluid therapy. Krenitsky J. Adjusted body weight, pro: evidence to support the use of adjusted body weight in calculating calorie requirements.
Nutr Clin Pract. Follow Us! After 14 days, all antimicrobial therapy was discontinued, and 2 days later the patient became hypernatremic. The sodium content of the TPN solution was decreased and then eliminated. Because of a kg weight loss, diuretic therapy was stopped. This patient's hyponatremia was caused by administration of large amounts of sodium-free fluids i. The most appropriate management would have been to change the fluids in which the antimicrobials were diluted, with no change in the sodium content of the TPN solution.
The patient's subsequent hypernatremia is best explained by a loss of free water. Once the patient had reached baseline weight and therapy with the diuretic had been discontinued, maintenance therapy with 0.
No change in the TPN sodium content should have been required.
0コメント