Basale behoeften ernstig zieke patiënt
- - Energie (niet-eiwit calorieën): 30 - 35 kcal/kg/dag
- - Glucose (4 kcal/g, RQ = 1.0): 3 - 5 g/kg/dag
- - Lipiden (9 kcal/g, RQ = 0.7): 1-1.5 g/kg/dag
- - Eiwit (4 kcal/g, RQ = 0.82): >1.2 g/kg/dag
- - Nutritional RQ: Normaal ± 0.86
Energy Expenditure
Evaluatie eiwitinnameMaroni formule (II) - Eiwitinname (aantal gram per dag): 6
6.25 x [(0.0276 x ureum (mmol) 24-uur urine) + (0.031 x gewicht in kg)] + eiwit (g) 24-uurs urine
Referenties
- 1. Weir JB New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949 Aug;109(1-2):1-9.
- 2. Stapel SN, de Grooth HJ, Alimohamad H, Elbers PW, Girbes AR, Weijs PJ, Oudemans-van Straaten HM. Ventilator-derived carbon dioxide production to assess energy expenditure in critically ill patients: proof of concept. Crit Care. 2015 Oct 22;19:370.
- 3. Roza AM, Shizgal HM The Harris Benedict equation reevaluated: resting energy requirements and the body cell mass. Am J Clin Nutr. 1984 Jul;40(1):168-82.
- 4. Faisy C, Guerot E, Diehl JL, Labrousse J, Fagon JY. Assessment of resting energy expenditure in mechanically ventilated patients. Am J Clin Nutr. 2003 Aug;78(2):241-9.
- 5. Kreymann KG, Berger MM, Deutz NE, Hiesmayr M, Jolliet P, Kazandjiev G, Nitenberg G, van den Berghe G, Wernerman J; DGEM (German Society for Nutritional Medicine), Ebner C, Hartl W, Heymann C, Spies C; ESPEN (European Society for Parenteral and Enteral Nutrition). ESPEN Guidelines on Enteral Nutrition: Intensive care. Clin Nutr. 2006 Apr;25(2):210-23. Epub 2006 May 11.
- 6. Maroni BJ, Steinman TI, Mitch WE. A method for estimating nitrogen intake of patients with chronic renal failure. Kidney Int. 1985 Jan;27(1):58-65.
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