Woman 28 years, without antecedent of interest, in ICU from 12 days, after 
traffic accident, with the following injuries: 6 double ribs fractures with 
unestable thorax and hemoperitoneum by hepatic fissure, is practiced 
laparotomia. APACHE to 1st day 11. In mechanical ventilation with FiO2 40% and 
PEEP of 5, for stabilization unestable thorax . Sedating with midazolam and Cl. 
mórfico, stable hemodinámicamente, he not need inotropic support, with febrícula 
and with contribution by route enteral of 1600 calories and 16 gr. of nitrogen, 
presents the following nutritional data:
	Weight 56 kg	Height 165 cm	Ideal Weight 60,5 kg
        Harris-Benedict 1355 cal/día	Albumin 2,1 g/dl (3,2 - 5,5)
        Urine Nitrogen 19 gr/24h	PreAlbumin 15 md/dl (17 -42)
        Nitrogen balance 24 h. de -5 gr	Transferrin 133 mg/dl (252 - 429)
        Index Creatinina/Height 100%	Colesterol 115 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.. ?