Author Question: Assess Mr. McKinley's height and weight. Calculate his BMI and usual body weight. What will be ... (Read 36 times)

sarasara · **on:** Aug 21, 2018

Assess Mr. McKinley's height and weight. Calculate his BMI and usual body weight.

What will be an ideal response?

Question 2

Calculate Ms. Watson's energy and protein requirements.

honnalora · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

Ht: 5'10, Wt: 325; BMI: 47, or morbidly obese
IBW: 166, IBW: 196; UBW: 425, UBW: 76
Weight history: Has weighed 250 since age 15 and reached his highest weight of 425 before considering bariatric surgery. He lost 24 prior to the surgery and has now lost approx 100. This is 18 weight loss over four months, which would usually indicate severe malnutrition, but rapid weight loss is expected in Roux-en-Y bariatric surgical patients.

Answer to Question 2

Energy Requirements:
Mifflin-St. Jeor:
REE = 10 x W (kg) + 6.25 x H (cm) - 5 x A (yrs) - 161
REE = 10 x 74.1 kg + 6.25 x 162.56 - 5 x 61 - 161
REE = 1291 1300 kcal/day
TEE = 1582 x 1.2 (PA) x 1.3 (SF) = 2014 2000 kcal/day or 1900-2100 kcal/day

Protein Requirements:
1.2-1.5 g/kg x 74.1 = 89-111 grams