Woman of 63 years, without antecedent of interest, in ICU from one week ago by secondary Acute Respiratory Insufficiency Pancreatitis necrohemorrágic. APACHE to 1st day16. Present, fever maintained between 38 and 39 ºC, signs of sepsis, she need mechanical ventilation with FiO2 50% and PEEP of 8, sedating with midazolam and Cl. mórfico and inotropic support. They are being providing by parenteral route 1600 calories and 16 gr. of nitrogen, presenting the following nutritional data: Weight 60 kg Height 165 cm Ideal Weight 60,5 kg Harris-Benedict 1238 cal/día Albumin 1,5 g/dl (3,2 - 5,5) Nitrogen balance 24 hde -14 gr Transferrin 120 mg/dl (252 - 429) Urine Nitrogen 28 gr/24h Colesterol 110 mg/dl (150 -220) PreAlbumin 9,4 md/dl (17 -42) Index Creatinina/Height 126% 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.. ?