Male of 34 years, without antecedent of interest, that suffers traffic accident 
with the following injuries: 3 ribs fractures, colon break and blind, left 
neumothorax and crushing fracture of L12 and is practiced laparotomy. 48h. 
after, he presents acute respiratory insufficiency, with infiltrated cotonny 
pulmonary bilateral, he need mechanical ventilation with FiO2 50% and PEEP 10. 
sedating with midazolam and Cl. mórfico. Without fever and stable haemodinamic. 
APACHE to 1st day10
To 3st day present the following nutritional data, in FASTING situation:
	Weight 70 kg 		Albumin 1,7 g/dl (3,2 - 5,5)
        Height 173 cm		Transferrin 120 mg/dl (252 - 429)
        Ideal Weight 67,5 kg.	PreAlbumin <7 md/dl (17 -42)
        Harris-Benedict 1545 cal/día	Colesterol 142 mg/dl (150 -220)
        Urine Nitrogen 14 gr/24h	Index Creatinina/Height 88%
    
 


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.. ?