as given by Dr. Climaco

1. Calories:
Dextrose- 3.4cal/g || Carbs- 4 cal/g || Protein- 4cal/g || Alcohol- 7 cal/g || Fat- 9 cal/g
Calories:20-25 cal/kg/day Protein:1-1.5g/kg/day
Central Line: Glucose based Peripheral Line:Fatbased
Glutamine- fuel forsmall bowel enterocytes Short ChainFatty Acids- Colonocytes
Half Lives
Albumin 18d
Transferrin 8d
Pre-Albumin 2d
Retinol BindingProtein 12 hours
 Get CRPwithnutritional markerstosee if 2/2 to inflammatoryprocessormalnutrition
RespiratoryQuotient:Measure of energyexpenditure.CO2:O2
RQ>1= overfeeding(CO2buildup,difficultyweaningoff of vent) // RQ<0.7= ketosis/fatutilization
Utilization:RQ=0.7 (fat);RQ= 0.8 (protein);RQ=1 (carbs).Balanced=0.825
Vitamins
Chromium Diabeteslike/encephalopathy
Selenium Cardiomyopathy Selenagotshotinthe heart
Copper Pancytopenia Copperpans
Zinc Woundhealing
Phosphate Diff weaning,encephalopathy
VitA NightBlindness
VitD Rickets,osteomalacia/porosis Bowedlegs
VitE Neuropathy
VitK Coagulopathy
B1 (Thiamine) Wernicke/Cardiomyopathy Beri-Beri
B6 (Pyridoxine) Glossitis,anemia, neuropathy
B12 (Cobalmin) Megaloblastic/neuropathy
Folate Megaloblastic/Glossitis
VitC Scurrrvy.Poor woundhealing Hydroxylation.CofactorinProlyl
hydroxylase andlisle
hydroxylase
Niacin D3- diarrhea,dermatitis,
dementia
Pellagra
RefeedingSyndrome- Suddenshiftfromfattocarb metabolism hypoK/PO4/Mg
- DecreasedATP
- Feedat slowrate (10cal. Increase slowly)
Kwashiorkor- Proteindeficiency // Marasmus- starvation