Enteral (Tube feeding) Nutrition Calculator

Patient Parameters

Gender	Male Female
Height	in cm
Body weight	kg lbs
Fluid restriction	None Moderate Severe
Propofol	mcg/kg/min

Formulation

Diabetisource AC Fibersource HN Glucerna (1.0 Cal) Glucerna (1.2 Cal) Glucerna (1.5 Cal) Glytrol Impact Impact Glutamine Impact Peptide 1.5 Impact with Fiber Isosource 1.5 Isosource HN Jevity (1 Cal) Jevity (1.2 Cal) Jevity (1.5 Cal) Kate Farms Peptide 1.5 Liquid Hope Nepro with Carb Steady Novasource Renal Nutren 1.0 Nutren 1.0 Fiber Nutren 1.5 Nutren 2.0 Nutren Pulmonary Nutrihep Osmolite (1 Cal) Osmolite (1.2 Cal) Osmolite (1.5 Cal) Oxepa Peptamen Peptamen 1.5 Peptamen 1.5 with PreBio Peptamen AF Peptamen Bariatric Peptamen with PreBio Perative Pivot (1.5 Cal) Promote Promote with Fiber Pulmocare Renalcal Replete Replete Fiber Suplena with Carb Steady TwoCal HN Vital (1.0 Cal) Vital (1.5 Cal) Vital AF (1.2 Cal) Vital HN Vital HP Vivonex Plus Vivonex RTF Vivonex TEN
Goal kcal/kg	25 kcal/kg
Total protein/kg	1.2 g/kg
Feed duration	24 hrs 22 hrs 20 hrs 18 hrs 16 hrs 12 hrs 8 hrs
Protein packet	gm/packet

RESULTS

• Summary
• Progress Note

Tube Feed Recommendations

Glytrol @ 70 mL/hr

• Start at 20 mL/hr, titrate by 10-20 mL/hr every 4 hours to goal
• 20 mL free water flushes every 4 hours (5 mL/hr)

Macronutrients

Feed calories	1680 kcal (26 kcal/kg)
Total protein	76 gm (1.2 gm/kg)
Total carbs	168 gm
Total fat	80 gm

Fluid

Feed water	1411 mL
Water flushes	120 mL (20 mL Q4hr)
Total fluids	1531 mL (24 mL/kg)
Daily needs	Severely restricted

Macronutrient Distribution

Protein (19%)

Carbs (36%)

Fat (45%)

Anthropometrics

Ideal BW	61.5 kg
Actual BW	65 kg (6% above IBW)
Nutritional BW	65 kg
BMI	23.8 kg/m2
BMI Classification	Normal

Glytrol

Macronutrient	Per 1000 mL
Calories	1.0 kcal/mL
Free water	840 mL
Protein	45.2 gm 181 kcal
Carbohydrates	100 gm 340 kcal
Fat	47.6 gm 428 kcal
Manufacturers may change a 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.

This website is intended to be used in conjunction with reasonable clinical judgment. This is not a substitute for clinical experience and expertise. An electronic tool cannot assess the clinical picture and patient-specific factors.

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[Patient description, reason for consult]

Patient Metrics
Height: 65 in
Ideal body weight: 61.5 kg (6% above IBW)
Actual body weight: 65 kg
BMI: 23.8 kg/m² (NHLBI status - Normal)
Nutritional dosing weight: 65 kg

Nutritional Requirements
Goal kcal/kg: 25 kcal/kg
Goal protein/kg: 1.2 gm/kg
Fluid restriction: Severe

Enteral Nutrition Recommendations
Glytrol at 70 mL/hr
- Start at 20 mL/hr, titrate by 10-20 mL/hr every 4 hours to goal
- 20 mL free water flushes every 4 hours (5 mL/hr)
- Provides 1680 kcal (26 kcal/kg) and 76 gm
(1.2 gm/kg) of protein
- Enteral feed and flushes provide 1531 mL
(24 mL/kg) of free water

Nutritional Monitor Parameters
- Elevate head of bed 30-45 degrees while feeding
- Check gastric residuals every 4 hours when initiating feeding. May check every 6-8 hours once goal rate is achieved
- Hold gastric feeds for residuals more than 500 mL. Avoid holding feeds for residuals < 500 mL without other signs of intolerance
- If unable to meet caloric goals after 7-10 days, consider initiating supplemental parenteral nutrition

Please page with questions. Thank you for the consult.
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