determining needs

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Determining Needs Working knowledge of fluid and electrolyte requirements. Have working knowledge of methods of assessing nutrition status.

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Determining Needs. Working knowledge of fluid and electrolyte requirements. Have working knowledge of methods of assessing nutrition status. Determining Needs. Collect pertinent information for comprehensive nutrition assessment. Determining Needs. - PowerPoint PPT Presentation

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Page 1: Determining Needs

Determining Needs

• Working knowledge of fluid and electrolyte requirements.

• Have working knowledge of methods of assessing nutrition status.

Page 2: Determining Needs

Determining Needs

• Collect pertinent information for comprehensive nutrition assessment.

Page 3: Determining Needs

Determining Needs

• What are the factors that affect total energy needs?

Page 4: Determining Needs

What weight to use?

• Energy needs– obese use actual wt.

• Protein needs– obese use IBW– under 120% IBW use actual

Page 5: Determining Needs

What weight to use?

• Fluid needs– obese use IBW– under 120% IBW use actual

Page 6: Determining Needs

Harris Benedict Formula

• Men– kcal/day– 66 + (13.8 x W) + (5 x H) - (6.8 x A)

Page 7: Determining Needs

Harris Benedict Formula

• Women– 655 + (9.6 x W) + (1.8 x H) - (4.7 x A)

• W = wt in kg

• A = ht in cm

• A = age in years

Page 8: Determining Needs

Total Daily Energy

• TDE = BEE x AF x IF

• AF - activity factors

• IF - injury factors

Page 9: Determining Needs

Rule of Thumb

• Men– 106 lb for 5 ft plus 6 lb per inch over 5 ft– 106 lb minus 6 lb per inch under 5 ft

Page 10: Determining Needs

Rule of Thumb

• Women– 100 lb for 5 ft plus 5 lb per inch over 5 ft– 100 lb minus 5 lb per inch under 5 ft

Page 11: Determining Needs

Energy/kg wt

• wt in kg x kcal/kg = kcal need

Page 12: Determining Needs

Fever & Energy Needs

• Normal body temperature– 98.6 degrees F

• BEE increases 7% for each degree F above normal

Page 13: Determining Needs

Protein Needs

• What is normal?

• What is maximum?

Page 14: Determining Needs

Fat Needs

• How do you determine g fat if have a target of % kcal from fat?

Page 15: Determining Needs

Fat Needs

• Need 4% of total daily kcal provided by linoleic acid to prevent EFA deficiency

Page 16: Determining Needs

CHO Needs

• Usually be difference

Page 17: Determining Needs

Fluid Needs

• 1 ml/kcal consumed - adult

• 1.5 ml/kcal consumed - infant

• 25-40 ml/kg body wt

• Conduct an I&O also

Page 18: Determining Needs

Fluid Needs

• Dx of concern?

Page 19: Determining Needs

Vitamin & Mineral Needs

• Conduct a through diet hx

• Look at current food intake

• Know what diseases & dx may result in vitamin & mineral deficiencies

• Keep RDA & DRI in mind

Page 20: Determining Needs

END NEEDS

• Questions?