Answer to Question 1
Estimated energy needs: 30-35 kcal/kg IBW/day = 2590-3023 kcal/day or 2600-3000 kcal/day
Estimated protein needs: 1.8-2.0 g protein/kg IBW/day = 155-173 g protein/day
These estimations were based on ideal body weight because of the fluctuation of weight this patient has experienced since admission. Additionally, would want to avoid the risks of overfeeding the patient (hyperglycemia, increased CO2) while he is in critical condition. These ranges were selected based on the previous estimations for a patient with AKI who is going to be on CRRT.
Answer to Question 2
Mediterranean diet:
- high consumption of fruits, vegetables, cereals, legumes, and nuts
- Olive oil main source of dietary fat
- Low consumption of meat and dairy products
This may be appropriate for Mrs. Moore since there is evidence that the diet reduces risk factors for cardiovascular disease, such as hypertension and dyslipidemia
This may be culturally inappropriate for Mrs. Moore considering she is American, African-American and her current lifestyles are consistent with her nationality which contradicts the Mediterranean diet (i.e. she has a high consumption of salty processed foods, meat, and saturated fats butter)
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