TS is an 80-year-old female admitted to the hospital with an exacerbation of COPD. She was diagnosed with the disease 20 years ago and now complains of shortness of breath while eating and drinking.
HT: 5'1" WT: 104 pounds UBW: 115 pounds
-How many kcal/day would be recommended for TS?

Question

TS is an 80-year-old female admitted to the hospital with an exacerbation of COPD. She was diagnosed with the disease 20 years ago and now complains of shortness of breath while eating and drinking.
HT: 5'1"          WT: 104 pounds          UBW: 115 pounds
-How many kcal/day would be recommended for TS?

Quizplus · Accepted Answer

For TS, a common approach to estimate energy needs is to use the Mifflin-St Jeor equation for basal metabolic rate (BMR) and then adjust for activity level. However, given the information provided and the context of a simplified calculation often used in clinical settings for patients with COPD, we can estimate her needs based on weight. A general guideline for COPD patients is 25-30 kcal/kg body weight per day, depending on the severity of the disease and nutritional status. Using the lower end of the range (25 kcal/kg) for TS, who weighs 47.3 kg (104 pounds / 2.2 pounds/kg), her estimated energy needs would be approximately 1182.5 kcal/day. The closest option provided is 1,266 kcal, which accounts for a slight increase to ensure her needs are met, considering her COPD exacerbation and potential increased energy expenditure or nutritional needs for recovery.

TS Is an 80-Year-Old Female Admitted to the Hospital with an Exacerbation