Enteral and Parenteral Nutrition Summary

Analyzes the nutritional components of enteral and parenteral nutrition

Patient Parameters

Gender
Height
Weight
Propofol Question

Enteral Nutrition

Rate
Duration
Free water flush
Protein packets Question

Parenteral Nutrition

Total Volume
Rate
Duration
Dextrose
Protein
Lipids
Lipid Formulation

RESULTS

Nutritional Components

Route Dextrose Protein Lipids Fluid Calories
Enteral
96 gm
326 kcal
65 gm
262 kcal
54 gm
486 kcal
666 mL
1104 kcal
Parenteral
100 gm
339 kcal
-
-
1992 mL
339 kcal
Propofol
-
-
288 mL
288 mL
317 kcal
Total
195 gm
(2.4 g/kg)
65 gm
(0.8 g/kg)
89 gm
(1.1 g/kg)
2946 mL
(36.8 mL/kg)
1760 kcal
(22 kcal/kg)

Manufacturers may change an enteral nutrition formulation at any time. Nutrition information is kept as updated as possible, but it is recommended to check this data against the formulation at your local site. If you see a discrepancy, please contact us.

Macronutrient Distribution

Anthropometrics

Ideal BW 75.3 kg
Actual BW 80 kg
(6% above IBW)
Nutritional BW 80 kg
BMI 24.6 kg/m2
BMI Classification1 Normal

Nutritional Details

Total calories 22 kcal/kg
Protein 0.8 g/kg
GIR 0.9 mg/kg/min

About This Calculator

How many calories is my patient getting?

This calculator is intended to provide clinicians with a 'snapshot' of a patient's existing enteral and parenteral nutrition status. Rather than providing a recommended nutritional regimen, this evaluation and analysis tool will summarize a patient's nutritional intake as it relates to total calories, macronutrients, fluid, and weight-based nutritional metrics (eg, protein per kg, kcal per kg, etc.). In its simplist form, it answers the question of "How many calories is my patient getting"?

If you are interested in calculating a new regimen for a patient, please see the TPN Macronutrient Calculator or Enteral Nutrition Calculator for dosing recommendations.

Nutritional weight calculation

In obese patients, this calculator uses a correction adjustment of 25% (see equation below); however, it is important to note that a higher correction coefficient (ie, 50%) may be appropriate for patients on chronic enteral or parenteral therapy when the goal is to provide full calories.2

$$\\ Nutritional\;weight = IdealBW + 0.25*(ActualBW - IdealBW)$$

Macronutrient Caloric Density

The following macronutrient caloric density are used for calculations:

Lipid Dextrose Protein
9 kcal/g 3.4 kcal/g 4 kcal/g

Osmolarity calculation

An osmolarity calculation may be useful for determining whether a patient's TPN requires a central line (>900 mOsm/L) or if it may be infused via a peripheral line (eg, "peripheral parenteral nutrition", or PPN).3 Note that the osmolarity calculation included in this calculator does not account for electrolytes, which will significantly contribute to a formulation's osmolarity.

Lipid Dextrose Protein
Neglibile 5 mOsm/g 10 mOsm/g

References and Additional Reading

  1. National Heart, Lung, and Blood Institute (NHLBI). Classification of Overweight and Obesity by BMI, Waist Circumference, and Associated Disease Risks. http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/bmi_dis.htm. Accessed February 24, 2013.
  2. Krenitsky J. Adjusted body weight, pro: evidence to support the use of adjusted body weight in calculating calorie requirements. Nutr Clin Pract. 2005;20(4):468-73. PMID 16207686.
  3. Pittiruti M, Hamilton H, Biffi R, et al. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications). Clin Nutr. 2009;28(4):365-77. PMID 19464090.

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Updated Mar 4, 2017
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