Nutrition Support Calculations

Nutrition Support Calculations
NDFS 356
WINTER 2016
35 Points
1.
2.
Determine the following for Ensure at 68 ml/hour (Note: when working with volumes of
formula for enteral formula, it is expressed in total volume/ml not as cans or ounces. For
example: 1200 mls, not 5 cans)
a.
Total volume: 68mL * 24 = 1632 mL
b.
Total calories: 220 cal/237 mL= .93 Calorie Density

1632 mL * .93 kcal = 1517 kcals
c.
Protein (grams): 9g/237mL * 1632 mL = 62 grams
Determine the following for Jevity 1.2 at 120 ml/hour:

a.
Total volume (ml): 2880 mL/ day
b.
Total calories: 1.2kcal/L * 2880 mL = 3456 cal
c.
Total protein (g): 55.5g/mL * 2.880 L = 159.84 grams
d.
Free water (ml): .807g/mL * 2880 ml = 2324 mL
e.
Fiber (g): 18 g/L * 2.88 ml = 51.8 grams
3.
How much Perative would need to be delivered to provide about 2,500 calories and about
130 protein?
Total volume in mls: 2500/1.3 = 1923 mL
Protein: 1.923 * 66.7 = 128.3 grams
4.
Calculate the following for Procalamine at 100 ml x 24 hours.

a.
Protein (grams): 2.4 L * 29g/L = 69.6 grams
5.
b.
Total calories: 245 cal/L * 2.4 = 588 cal
c.
Total non-protein calories (NPC): 130 (NPC)/L * 2.4L = 312 calories
Calculate how much Impact is necessary to provide 80 grams of protein. What is the total
volume, calories and free fluid that it would provide?
a.
Total volume (ml): 56g/L * 80g = 1.4 L
b.
Total calories: 1.4 * 1000= 1400 kcal
c.
Free fluid (water) (ml): 853ml/L * 1.4 = 1194.2
6.
How many cans of Nutren 2.0 are necessary to provide 1250 calories? How much protein
does it provide? How much free fluid? (when supplements are consumed PO, they are
usually expressed in cans/day)
a.
# of cans: 1250 cals/ 2 cals/mL = 625 mL
625 mL/ 250 mL = 2.5 cans/days
b.
Protein (g): 84g/L * .625 = 52.5 grams
c.
Free Fluid: 692mL/ L * .625 L = 432.5 mL
7.
Determine the following for someone who consumed 3 cans of Boost.

a.
Calories: 240 cals/ 1 can * 3.5 cans = 840 Cal
b.
8.
9.
Protein (g): 10 g * 3.5 cans = 35 grams
How much of the following nutrients would be provided in 2 Glucerna meals bars?
a.
Kcals: 150 * 2 = 300 cals
b.
Protein: 10g * 2 = 20
c.
Overall % of DV: 40% protein
For the following Standard TPN solution, calculate the requested information:
2800 ml of 50% CHO and 8.5% AA.
a.
Protein (grams): Standard: 8-12 grams/protein
2.8 L * 8.5g/L = 23.8 g
b.
Total NPC: (Standard 240 -250 kcals, 1 kcal/mL)

1400 mL * .085 = 119 g
119 g * 4 kcal/g = 476 kcal protein
1400 mL * .5g/ml = 700 g
700 g * 3.4 kcal/g = 2380 kcal carbs
c.
10.
Total calories:
476 kcal protein + 2380 kcal carbs = 2856 kcal
Calculate the nutritional provisions in a standard solution of 2,450 ml 50% CHO, 10%
protein, and 10% lipids (500mls) QOD
a.
Protein (grams): 2450/2 = 1225 ml of each AA and Carbs

1225 mL * .1 = 122.5 g protein
12.25g * 4 kcal/g = 490 kcal protein
b.
Total NPC:
1225 mL * .5 = 612.5g carbs
612.5 g * 3.4 kcal/g = 2082.5 kcal carbs
500mL * 1.1 kcal/mL = 550 kcals
550kcal fat * 3.5 = 1925/ 7 days = 275 kcal fat
275
c.
11.
+ 2082.5 = 2357.5 NPC
Total calories:
490+ 2082.5 + 275 = 2847.5 cals
Calculate the following: 1,200 ml of 70% CHO; 1,000 ml of 8.5 % protein; and 20%
lipids (in 500 ml bag) given QOD to a 74 kg person.
a.
b.
Protein (grams): 1000 mL * .085 g = 85g

Total NPC (average/day):
1200 mL * .70 = 840 g/mL
840g * 3.4kcal/g = 2856 kcal carbs
500mL * 2 kcal/mL = 1000kcal/mL
1000/ 3.5 = 286 kcal fat
2856 carbs + 286 fat = 3142 kcal
c.
Total calories: 85g * 4kcal/g = 340 kcal

340
protein + 3142 NPC = 3482 kcal
d.
Fat load: 100 g * 3.5 g = 350

350/7 = 50
50g/ 74 kg = .67g/kg
CHO load: 840000 mg/ 74 kg/ 1440 min= 7.9 mg/kg/min
e.
f.
What is the max amount of CHO for this person: 5-6 ml/ kg
6 mL * 1440 min * 74 = 639360 mg 639.36 g
12. MC is starting on TPN (wt. 61 kg). You determined his needs to be 2,650 kcals/day and
protein needs at 91 grams. He will get 10% lipids 3 times/week. Write a TPN order using
60% dextrose and 8.5% AA (include protein calories) to meet his needs:
a.
Volume CHO (60%): 1005 mL
b.
Volume Pro (8.5%): 1070 mL
c.
Average daily lipid calories: 236 kcal
d.
Fat load: 0.35 g/kg
e.
CHO load: 6.9 mg/kg/min
13. Design a TPN formula to provide 1840 calories and 65 grams of protein for a 59 kg person.
Amino acids
Dextrose
Fat
CHO load
Fat load
Final AA concentration
Final dextrose concentration
Total final volume
Total Calories
Initial Stock
concentration
7%
50 %
10%
3.5 mg/kg/min
.85 g/kg
3.5 %
16 %
1862
1840
Total
grams
65g
303g
50g
Total
volume
929 mL
433 mL
500 mL
Remember the minimum lipid requirements. Make sure the person receives adequate fluid.
Fluid 1mL/kcal total mL
14.
JT is receiving both Procalamine and Jevity 1.0. He is tolerating Jevity at only 40

ml/hour which doesnt meet his protein needs of 90 grams. How much Procalamine does
he need and at what rate over 24 hours to meet his total protein needs?
a.
Procalamine (grams protein): 47.5g
b.
Procalamine (volume): 1638 mL
c.
Rate of Procalamine: 68 mL/hour
c.
Kcals provided by Jevity: 42.5g * 4 = 170
15.
Find a product that will provide 1,200 calories and >60 grams pro in less than 1,000 ml
and osmolality less than 600 mOsm. How much must be delivered?
Promote:
63g protein/L
Osmolality: 340
Calories: 237 per 237 mL
1200 mL for 1200 calories
16. Calculate the following for Jevity 1.5 half strength (diluted in equal wateri.e. of the total
volume is added water) at 83 ml/hour over 22 hours.
a.
Calories: 1369.5 kcal
17.
b.
Protein: 58g
c.
Total volume: 913 mL/day
d.
Free fluid from Jevity 1.5: 694 mL
e.
Total free fluid provided (added water plus Jevity free fluid): 1607 mL
Design a tailor-made formula providing 112 grams protein, 2,875 total calories, and 3,100
mls total fluid ( 100 mls) for an 89 kg person. Complete the table below.
Amino acids
Dextrose
Fat
CHO load
Fat load
Final AA concentration
Final dextrose concentration
Total final volume
Total Calories
Initial Stock
concentration
8.5%
30%
20%
3.3 mg/kg/min
1.1 g/kg
3.5%
13%
3217 mL
2875 cals
Total
grams
112g
420g
100g
Total
volume
1317 mL
1400 mL
500 mL

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Nutrition Support Calculations

Total volume: 68mL * 24 = 1632 mL

Total calories: 220 cal/237 mL= .93 Calorie Density

Protein (grams): 9g/237mL * 1632 mL = 62 grams

Determine the following for Jevity 1.2 at 120 ml/hour:

Total calories: 1.2kcal/L * 2880 mL = 3456 cal

Total protein (g): 55.5g/mL * 2.880 L = 159.84 grams

Free water (ml): .807g/mL * 2880 ml = 2324 mL

Fiber (g): 18 g/L * 2.88 ml = 51.8 grams

Calculate the following for Procalamine at 100 ml x 24 hours.

Total calories: 245 cal/L * 2.4 = 588 cal

Total non-protein calories (NPC): 130 (NPC)/L * 2.4L = 312 calories

Total calories: 1.4 * 1000= 1400 kcal

Free fluid (water) (ml): 853ml/L * 1.4 = 1194.2

Determine the following for someone who consumed 3 cans of Boost.

Protein (g): 10 g * 3.5 cans = 35 grams

Overall % of DV: 40% protein

Total NPC: (Standard 240 -250 kcals, 1 kcal/mL)

Protein (grams): 2450/2 = 1225 ml of each AA and Carbs

+ 2082.5 = 2357.5 NPC

Protein (grams): 1000 mL * .085 g = 85g

Total calories: 85g * 4kcal/g = 340 kcal

Fat load: 100 g * 3.5 g = 350

Volume CHO (60%): 1005 mL

Volume Pro (8.5%): 1070 mL

Average daily lipid calories: 236 kcal

Fat load: 0.35 g/kg

CHO load: 6.9 mg/kg/min

JT is receiving both Procalamine and Jevity 1.0. He is tolerating Jevity at only 40

Calories: 1369.5 kcal

Total volume: 913 mL/day

Free fluid from Jevity 1.5: 694 mL

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