Woman 28 years, without antecedent of interest, that suffers traffic accident 
with the following injuries: 6 double ribs fractures with unestable thorax and 
haemoperitoneum for hepatic fisure, is practiced laparotomia. 48h. after, he 
presents acute respiratory insufficiency, with basal atelectasia right and 
important increase in the unestable thorax , without pulmonary lesion, he need 
intubación and mechanical ventilation, with FiO2 40% and PEEP of 5, for 
stabilization unestable thorax . Sedating with midazolam and Cl. mórfico. 
Without fever. APACHE to 1st day11.
Present, at this time, the following nutritional data, in FASTING situation:
	Weight 56 kg		Albumin 2,1 g/dl (3,2 - 5,5)
        Height 165 cm		Transferrin 86 mg/dl (252 - 429)
        Ideal Weight 60,5 kg	PreAlbumin <7 md/dl (17 -42)
        Harris-Benedict 1355 cal/día	Colesterol 93 mg/dl (150 -220)
        Urine Nitrogen 15 gr/24h.	Index Creatinina/Height 118%
    
 
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.. ?