Male of 34 years, without antecedent of interest, in ICU 14 days after traffic 
accident with the following injuries: 3 ribs fractures, colon break and blind, 
left neumothorax and crushing fracture of L12, and laparotomy. He develops acute 
respiratory insufficiency, with infiltrated cotonny pulmonary bilateral. APACHE 
to 1st day 10. He need mechanical ventilation with FiO2 50% and PEEP 6, sedating 
with midazolam and Cl. mórfico, fever of 38 ºC, signs of sepsis, he not need 
inotropic supporo and presents cecal fistula low debit (200 ml/day). They are 
being administrating by parenteral route 2360 calories and 22 gr. of nitrogen, 
presenting in the actual, the following nutritional data:
	Weight 70 kg	Height 173 cm		Ideal Weight 67,5 kg.
        Harris-Benedict 1545 cal/día 		Albumin 1,6 g/dl (3,2 - 5,5)
        Urine Nitrogen 35 gr/24h		Transferrin 168 mg/dl (252 - 429)
        Nitrogen balance 24 h. de -16 gr	PreAlbumin 15 md/dl (17 -42)
        Index Creatinina/Height 88%		Colesterol 135 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.. ?