Based on the module content and the information you found in the EAL, complete the following:  Describe how energy needs differ for individuals who are critically ill. Discuss the utility of indirect calorimetry and respiratory quotient.  What is being measured?  How is it interpreted? Describe the EAL 2012 guidelines for determining resting metabolic rate in critically ill patients. Recommendation(s) CI: Resting Metabolic Rate Predictive Equations for Non-Obese Critically Ill Adults   If indirect calorimetry is not available, the Registered Dietitian (RD) should use the Penn State University [PSU(2003b)] equation in non-obese, critically ill mechanically-ventilated adults. Research indicates that this equation has the best prediction accuracy in non-obese patients.   Rating: FairConditional CI: Resting Metabolic Rate Predictive Equations for Obese Critically Ill Adults   If indirect calorimetry is not available, the Registered Dietitian (RD) should use the Penn State University [PSU(2003b)] equation in critically ill mechanically-ventilated adults with obesity who are less than 60 years of age. For obese patients 60 years or older, the PSU(2010) equation should be used. Research indicates that these equations have the best prediction accuracy.     Rating: FairConditional

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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  1. Based on the module content and the information you found in the EAL, complete the following: 
    1. Describe how energy needs differ for individuals who are critically ill.
    2. Discuss the utility of indirect calorimetry and respiratory quotient.  What is being measured?  How is it interpreted?
    3. Describe the EAL 2012 guidelines for determining resting metabolic rate in critically ill patients.
  2. Recommendation(s)

    CI: Resting Metabolic Rate Predictive Equations for Non-Obese Critically Ill Adults

     

    If indirect calorimetry is not available, the Registered Dietitian (RD) should use the Penn State University [PSU(2003b)] equation in non-obese, critically ill mechanically-ventilated adults. Research indicates that this equation has the best prediction accuracy in non-obese patients.

     

    Rating: Fair
    Conditional

    CI: Resting Metabolic Rate Predictive Equations for Obese Critically Ill Adults

     

    If indirect calorimetry is not available, the Registered Dietitian (RD) should use the Penn State University [PSU(2003b)] equation in critically ill mechanically-ventilated adults with obesity who are less than 60 years of age. For obese patients 60 years or older, the PSU(2010) equation should be used. Research indicates that these equations have the best prediction accuracy.  

     

    Rating: Fair
    Conditional

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