Woman of 63 years, without antecedent of interest, that enters in ICU by secondary Acute Respiratory Insufficiency BY Pancreatitis necrohaemorrágic, with effusion pleural bilateral, metabolic acidosis, without pulmonary condensation signs, fever of 38ºC , she need mechanical ventilation with FiO2 50% and PEEP 8. She is maintained sedated with midazolam and Cl. mórfico. APACHE to 1st day 16 To three day continues feverish, stable haemodinámicament without inotropic support, sedated and presents the following nutritional data, in FASTING situation: Weight 60 kg Albumin 2,7 g/dl (3,2 - 5,5) Height 165 cm Transferrin 75 mg/dl (252 - 429) Ideal Weight 60,5 kg. PreAlbumin < 7 md/dl (17 -42) Harris-Benedict 1238 cal/día Colesterol 104 mg/dl (150 -220) Urine Nitrogen 15 gr/24h Index Creatinina/Height 134% RESPONSES: ¿How many caloríes will you suggest? cálculation by?: Harris-Benedict x Factor or Calorias x Kg de peso or Segun Mi Protocolo or Segun mi experiencia or other calculation for calories: ¿ How many Nitrógen ? cálculation by ?: gr nitrogeno x kg peso or Segun Mi Protocolo or Segun mi Experiencia or other calculation for nitrógen: If Parenteral, what product will you suggest Type of carbohidratos: Glucosa FGX Type of grasas: LCT LCT/MCT Sin grasas Percentage CH/Grasas: 70/30 60/40 50/50 40/60 30/70 Type of aminoácidos: Estandar Ramificados Esenciales Fisher If Enteral, what product will you suggest Type of enteral product: Polimerica Concentrada Hiperproteica Inmunonutricion Oligomerica Especial estres Especial Renal Especial Diabetes Especial Pulmonar Especial Hepatica ¿Observations.. ?