Meal/Fluid Intakes

Patient
Meal Intake 1-Week Average (B+L+D)
Fluid Intake 1-Week Average
Day
Breakfast %
Lunch %
1
26-50
51-75
2
26-50
26-50
3
26-50
X
4
26-50
1-25
5
26-50
51-75
6
26-50
1-25
7
1-25
X
Calculations Key:
1-25% = 13%
26-50% = 38%
51-75% = 63%
76-100% = 88%

E.F.
42%
497 mL
Dinner %
Fluid mL
76-100
720
26-50
720
X
360
26-50
360
26-50
600
76-100
480
26-50
240

Needs Estimation:
-

2,000 kcal offered to patients per day on average; 70 grams PRO/day offered
Pt. needs: 73 lbs current wt, 3 wounds (1 stage 2 pressure ulcer, remaining surgical
wounds), kidney issues, diuresis
o 1.3 g/kg PRO (wound healing, but not to overload kidneys)
o 35 kcal/kg (BMI=~14, emaciated)
o 30 mL/kg fluids (on diuretics, has wounds)

Meeting Needs:
Needs
Kcal
PRO
Fluids

1,161 kcal/day
43 grams/day
995 mL/day

Actual
840 kcal/day
29 grams/day
497 mL/day

Pt. is currently not meeting estimated needs for kcal, PRO, or fluids. Pt. is currently consuming
about 42% of the amount offered, which calculates to 840 kcal/day (needs about 321 kcal more
per day to reach 1,161) and about 29 grams PRO/day (needs about 14 grams PRO more per day
to reach 43 grams). Her fluids are currently averaging 497 mL per day (about half of what pt.
needs). Supplement intake is also poor.
Pt. is emaciated with a BMI of ~14, has 3 wounds, and kidney issues. Pt. needs to increase
caloric, protein and fluid intake to increase wt. and heal wounds, along with maintaining healthy
kidney function while on diuretics.

*It is important to note that these estimations may not be entirely representative of how much the
pt. is actually consuming, because her family takes her out to eat often.