KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident.
HT: 6'2" WT: 190 pounds (86 kg)
-What is the best means of determining KL's caloric needs while in the hospital?

Question

KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident.
HT: 6'2"          WT: 190 pounds (86 kg) 
-What is the best means of determining KL's caloric needs while in the hospital?

Quizplus · Accepted Answer

Indirect calorimetry is the gold standard for determining energy needs in critically ill patients with a TBI. It measures the amount of oxygen consumed and carbon dioxide produced, giving an accurate estimate of the patient's resting energy expenditure. Equations such as the Mifflin-St Jeor and Harris-Benedict equations may not be accurate in the case of a TBI, as metabolism can be affected by the injury. WHO standards and Glasgow coma scale are not relevant to determining caloric needs.

KL Is a 34-Year-Old Male Admitted to the Hospital (Large