This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Calculate energy and protein requirement for Mrs. Williams. Explain how you determined these ... (Read 26 times)

ashley

  • Hero Member
  • *****
  • Posts: 584
on: Aug 21, 2018
Calculate energy and protein requirement for Mrs. Williams. Explain how you determined these recommendations.
 
  What will be an ideal response?

Question 2

Compare Olivia's reported intake with her estimated needs. Identify at least three key nutrients inadequate in her diet.
 
  What will be an ideal response?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cdmart10

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Aug 21, 2018
Answer to Question 1

 Standard calculations for Mrs. Williams' needs can be used. For energy requirements, a 25-30 kcal/kg nomogram or the Harris-Benedict equation for females can be used. For protein requirements, a 0.8-1.0 g/kg nomogram would be appropriate. A physical activity factor of 1.3 should be used considering her relatively low-active work environment and assumptions based upon her ailment/symptoms and age.

 Energy Requirements:
REE = 655.1 + 9.6 W (kg) + 1.9 S (cm) - 4.7 A (yrs)
REE = 655.1 + 9.6 x 57.3 kg + 1.9 x 167.64 cm - 4.7 x 49 yrs
REE = 1283.8  1300 kcal
TEE = 1283.8 x 1.3 (PA) = 1668.9  1700 kcal; range of 1600-1800 kcal/day

57.3 kg x 25-30 kcal/kg = 1432.5-1719 kcal  1450 - 1700 kcal/day

 Protein Requirements:
57.3 kg x 0.8 g/kg = 46-57 g/day

Answer to Question 2

 Olivia's reported intake is meeting approximately 58 of her estimated energy needs. Her protein intake is adequate at 1.7 g/kg/d. She is meeting around 70 of her estimated fluid requirement.
 Olivia's 24 hour recall indicates insufficient intake of the following micronutrients: vitamin D, vitamin E, thiamin, niacin, calcium, iron, zinc, phosphorus, and potassium.
Vitamins Patient's Intake DRI for age
Vitamin D 240 IU/d 600 IU/d
Vitamin E 3 mg/d 11 mg/d
Thiamin 0.7 mg/d 0.9 mg/d
Niacin 5 mg/d 12 mg/d
Minerals
Calcium 1000 mg/d 1300 mg/d
Iron 7 mg/d 8 mg/d
Zinc 6 mg/d 8 mg/d
Phosphorus 1000 mg/d 1250 mg/d
Potassium 2300 mg/d 4500 mg/d

 The patient also takes a pediatric complete gummy multivitamin, 2x/day, though this does not contain calcium or iron.


ashley

  • Member
  • Posts: 584
Reply 2 on: Aug 21, 2018
Wow, this really help

milbourne11

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

First step in cotranslational protein localization: cotranslational sorting First step in cotranslational protein localization: cotranslational sorting
Obtaining protein sequence information with tandem MS Obtaining protein sequence information with tandem MS
Molecular complementarity permits tight protein bonding via multiple noncovalent Molecular complementarity permits tight protein bonding via multiple noncovalent
Some antibiotics that act by interfering with protein biosynthesis Some antibiotics that act by interfering with protein biosynthesis
How to calculate simple interest (Part 2) How to calculate simple interest (Part 2)
Nuclear energy Nuclear energy
Video: Bipolar Disorder

For a complete list of videos, visit our video library