Male 50 years, without antecedent of interest, 25 days in ICU by acute 
respiratory insufficiency, with bilateral cotonny infiltrated, secondary a 
perforating gastric peritonitis,. APACHE to 1st day 12. In subsequent days 
presents sepsis by enterococus.
At this time present tetraparesic with absence of espontan ventilation, 
polineuropaty of critical patient. He need mechanical ventilation with FiO2 of 
40% and 5 PEEP, not sedating , neither inotropic support and he is afebril and 
with enteral nutrition, 2000 calories and 19 gr. of nitrogen to the day. At this 
time, it presents the following nutritional data:

	Weight 60 kg		Height 165 cm		Ideal Weight 63 kg.
        Harris-Benedict 1310 cal/día		Albumin 1,9 g/dl (3,2 - 5,5)
        Urine Nitrogen 19 gr/24h		Transferrin 96 mg/dl (252 - 429)
        Nitrogen balance 24 h. de -3 gr		PreAlbumin 14 md/dl (17 -42)
        Index Creatinina/Height 95%		Colesterol 102 mg/dl (150 -220)
    
 
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.. ?