KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
-KL is at a trauma center What is the best means of determining his caloric needs?

Question

KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2"        WT: 190#
-KL is at a trauma center What is the best means of determining his caloric needs?

Quizplus · Accepted Answer

Indirect calorimetry is the gold standard for determining energy needs in critically ill patients, as it provides measurements tailored to the individual's needs based on their CO2 production and oxygen consumption. The Mifflin-St Jeor and Harris-Benedict equations may not be accurate in the case of a TBI and may overestimate kcal needs. WHO standards are also not tailored to individual needs and are more appropriate for population-level assessments. Indirect calorimetry is the best means of determining KL's caloric needs, as it measures his oxygen consumption and carbon dioxide production to calculate his resting energy expenditure. This method is more accurate than equations, which may not account for individual variation in metabolism or activity level, and is also not affected by the stress response to trauma. WHO standards are not directly applicable to determining caloric needs in this case.

KL Is a 34 Yo Male Admitted to the Hospital