BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered.
HT: 6'1" WT: 180#
-What is the best way to estimate his caloric needs?

Question

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered.
HT: 6'1"        WT: 180#
-What is the best way to estimate his caloric needs?

Quizplus · Accepted Answer

Indirect calorimetry is the most accurate method for estimating caloric needs in critically ill patients, such as BM, who may have disrupted metabolic processes. The Harris-Benedict equation and Curreri equation are not as accurate in this population, and the Fick equation is used to calculate cardiac output, not caloric needs. Indirect calorimetry is the gold standard for determining caloric needs in critically ill patients. Since BM has sustained major burns and smoke inhalation, his metabolic rate may be altered and difficult to estimate accurately using equations. Indirect calorimetry can measure his oxygen consumption and carbon dioxide production to calculate his energy expenditure.

BM Is a 35 Yo Firefighter Who Has Sustained Major