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.. ?