Estimated needs updates

[Me_Kimberly_]

ICU/critical care:

BMI under 30 not on vent
Estimated needs (override any adjusted body weight or overweight previous calcs)
Calories: MSJ x 1.25
Protein: 1.2-2.0g/kg
Fluid: 25-30 ml/kg
*Mifflin St Jeor

BMI under 30 and on vent:
Calories: PSU 2003
Penn State Equation 2003 male or female
Protein: 1.2-2.0g/kg
Fluids: 1 ml/kg


BMI 30-50 not on vent
11-14 cal/kg current weight actual weight- no adjusted
2.0g pro/kg ideal body Weight
Bmi 40-50 protein 2.5g/kg IBW ideal body weight
fluids: 1 ml/cal

BMI 30-50 on vent:
PSU 2010 male or female if over 60 years old
PSU 2003 male or female if under 60 years old


BMI >50 not on vent
22-25 cal/kg IBW
2.5g pro/kg ideal body weight
fluids: 1 ml/ cal

[Kimberly]

Need option to calculate needs based on actual weight, IBW, or adjusted body weight

[Guest]

***Correction:
Sepsis/critical care/ARDS:
BMI under 30:
Estimated needs 25-30 cal/kg current weight (override any adjusted body weight or overweight previous calcs)
Protein: 1.2-2.0g/kg
Fluid: 25-30 ml/kg


On Vent:
BMI 30-50:
11-14 cal/kg current weight
1.2-2.0g/kg current weight
2.0-2.5g pro/kg ideal body weight
fluids: 1 ml/cal

On Vent:
BMI >50:
22-25 cal/kg IBW
2.0-2.5g pro/kg ideal body weight
fluids: 1 ml/ cal

[Kimberly R]

**take out stacking for now on any new stuff until better reviewed

Take out UTI - never used

Update wounds stage III-IV:
Pro: 1.5-2.0g/kg
fluids: 30 ml/kg OR 1.0-1.5 ml/cal

Update Wounds stage I- II:
pro: 1.25-1.5g/kg
fluids: 30 ml/kg

Add Pancreatitis:
25-35 cal/kg
1.2-1.5g/kg pro
25-30 ml/kg

Add cirrhosis:
1.2-1.6g/kg pro

Add acute renal failure:
25-30 cal/kg
If in ICU: 1.2-2.0g/kg
If non-ICU: 0.8-1.0g/kg
1 ml/cal

Update COPD:
25-30 cal/kg
Pro: 1.2-1.5g/kg

Pneumonia:
1.0-1.5g/kg