Enteral Calculations

Enteral Calculations

For each of the following orders, calculate the amount of kcals, protein and free water provided

Free WaterKcalsProtein

1.Probalance full strength @ 75 ml/hr______

2.Magnacal full strength @ 50ml/hr______

3.F.A.A. ½ strength @ 90ml/hr______

4.Crucial full strength @ 80ml/hr______

5.A patient requires ~2200 kcals, and 2000ml free water per day. You have selected Probalance as the formula.

a.Calculate the minimum rate the TF would have to be infused to meet kcal needs

b.How much protein will this provide?

c.How would you start and advance this TF?

d.How much additional water would have to be given to meet the patients free water

needs?

ISOTONIC STANDARD
TUBE FED / HIGHT CALORIE
HIGH NITRTOGEN / CRITICALLY ILL / Elemental / SPECIALIZED FORMULAS
Product Name / ProBalance / Nutren 1.0 / Nutren 1.5 / Nutren 2.0 / Crucial / Impact w/Fiber / F.a.a / Glytrol / Nutren Junior w/Fiber / NutriHep / NutriVent / Magnacal / Suplena
Type of / Intact Protein
Fiber-
Containing / Intact Protein/
Low Residue / Intact Protein/
High Calorie / Intact Protein/
High Calorie / Critical Care/
Elemental/
Immune Support / Critical Care/
Elemental Immune Support / Elemental / Glucose Management / Pediatric/Intact Protein/Fiber-
Containing / Hepatic / Pulmonary / Renal/
Dialyzed / Predialysis
Prefilled System / Yes; 100ml, 1500ml / Yes; 1000ml, 1500ml / Yes; 1000ml, 1500 ml / No / Yes; 1000ml / Yes; 1000ml / No / Yes; 1000ml, 1500ml / No / No / Yes; 1000ml / No / No
Tube/Oral / Tube / Tube / Tube / Tube / Tube / Tube / Tube / Tube / Tube/Oral / Tube/Oral / Tube/Oral / Tube/Oral / Tube/Oral
Calories/ml / 1.2 / 1.0 / 1.5 / 2.0 / 1.5 / 1.0 / 1.0 / 1.0 / 1.0 / 1.5 / 1.5 / 2.0 / 2.0
Protein
(gm/L)/%
& Source / 54/18%
Calcium Potassium Caseinate / 40/16%
Calcium Potassium Caseinate / 60/16%
Calcium Potassium Caseinate / 80/16%
Calcium Potassium Caseinate / 94/25%
Enzymatically Hydrolyxed
Casein,
L-Arginine / 56/22%
Sodium and Calcium Caseinates
L-Arginine / 50/20%
Free Amino Acids / 45/18%
Calcium Potassium Caseinate / 30/12%
Isolated Casein
And Whey Proteins / 40/11%
L-Amino acids, Whey Protein
(50% BCAA) / 67.5/18%
Calcium Potassium Caseinate / 75/15%
Sodium and Calcium Caseinates / 30/6%
Sodium and Calcium
Caseinates
Carbohydrate
(gm/L)/%
& Source / 156/52%
Maltodextrin / 127/51% Maltodextrin / 169/45% Maltodextrin / 196/39%
Corn Syrup Solids, Maltodextric, Sucrose / 135/36%
Maltodextrin,
Corn Starch / 140/53%
Hydrolyzed Corn Starch, Soy Fiber, Partially Hydrolyzed Guar Gum / 176/70%
Maltodextrin,
Modified Corn Starch / 100/40%
Maltodextrin
Modified Corn Starch, Fructose, Pectin, gum Arabic / 127.5/51%
Maltodextrin,
Sucrose / 290/77%
Maltodextrin,
Modified corn Starch / 100/27%
Maltodextrin,
Sucrose / 198/40%
Maltodextrin,
Sucrose / 255/51%
Maltodextrin,
Sucrose
Fat
(gm/L)/%
& Source / 40.6/30%
Canola Oil, MCT Oil, Corn Oil, Soy Lecithin / 38/33%
Canola Oil, MCT, Corn Oil, Soy Lecithin / 67.6/39% MCT, Canola Corn Oil,
Soy Lecithin / 106/45% MCT Oil, Canola Oil, Soy Lecithin, Corn Oil / 68/39%
MCT Oil,
Deordized Fish
Oil, Soy Oil, Soy Lecithin / 28/25%
Structured Lipids from Palm Kernel and Sunflower Oil, Refined Fush Oil / 11.2/10%
Soybean Oil,
MCT Oil / 47.5/42%
Canola Oil, Hi-Oleic Safflower Oil, MCT Oil, Soy Lecithin / 42/37%
Soybean Oil, MCT Oil, Canola Oil / 21.2/12% MCT Oil, Canola Oil, Soy Lecithin, Corn Oil / 94/55% Canola Oil, MCT Oil, Corn Oil, Soy Lecithin / 101/45%
Canola Oil,
Soy Oil,
Mono & Diglycerides / 95/43%
High-Oleic Safflower Oil, Soy Oil, Soy Lecithin
%Free Water / 82% / 85% / 78% / 70% / 77% / 87% / 82% / 85% / 85% / 76% / 78% / 71% / 71%
Osmolality / 350-450 / 300-350 / 430-530 / 720 / 490 / 375 / 700 / 380 / 350 / 690 / 330-450 / 570 / 615
Fiber Content (gm/L) & Source / 10
Soy Polysaccharide, Gum Arabic / 0 / 0 / 0 / 0 / 10
Soy Fiber, Partially Hydrolyzed Guar Gum / 0 / 15
Gum Arabic, Soy Polysaccharide, Pectin / 6
Soy Polysaccharides / 0 / 0 / 0 / 0
Na+ (mg/L)/mEq / 763/33 / 876/38 / 1170/51 / 1300/57 / 1168/51 / 1100/48 / 560/24 / 740/32 / 460/20 / 320/14 / 1170/51 / 800/35 / 775/34
K+ (mg/L)/mEq / 1560/40 / 1248/32 / 1872/48 / 1920/49 / 1872/48 / 1400/36 / 1500/38 / 1400/36 / 1320/34 / 1320/34 / 1872/48 / 1270/33 / 1169/30
Volume (mL) to meet 100% RDA for
Vitamins/Minerals / 1000 / 1500 / 1000 / 750 / 1000 / 1500 / 1000 / 1400 / 1000 / 1000 / 1000 / 1000 / 960