PREDICTING ENERGY REQUIREMENTS

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PREDICTING ENERGY REQUIREMENTSFrances PhillipsAPD Chief Dietitian Royal Perth HospitalNov 2010 .....Estimatedenergyrequirementsareonlya startingpoint,andthatallcliniciansshould regularlyreviewtheirpatientstoensurethey aremeetingtheirnutritionalgoalsandtoeval uatetheeffectivenessofnutritionalsupport WeekesProcNutrSoc2007SurveySurvey:Use ENERGY Equations Non Critical Care Adult Patients Stand UpHarris Benedict EquationHands at Assume eg = SF 10% and AF 15%(a)If Multiply BMR x [ + (SF + AF)] (SF +AF = 25%) (Non Cumulative approach)Hands on Shoulders(b) If Multiply BMR x (SF or AF), and then multiply other factor (Cumulative approach)Hands on Head Neither HB or Schofield Wave Hands Basil Metabolic Rate (BMR) Largestpartofanindividual stotalenergyexpenditure(TEE) Energyforinternalmechanicalactivitiesand maintenanceofbodytemperature Measure: Postfast Atphysicalandmentalrest 22-2

PREDICTING ENERGY REQUIREMENTS Frances Phillips APD Chief Dietitian Royal Perth Hospital Nov 2010

  Requirements, 2010, Energy, Predicting, Predicting energy requirements