Meal/Fluid Intakes

Patient
Meal Intake 1-Week Average (B+L+D)
Fluid Intake 1-Week Average
Day
Breakfast %
Lunch %
1
0
26-50
2
1-25
76-100
3
0
0
4
1-25
1-25
5
1-25
1-25
6
1-25
1-25
7
X
26-50
Calculations Key:
1-25% = 13%
26-50% = 38%
51-75% = 63%
76-100% = 88%

G.R.
18%
509 mL
Dinner %
Fluid mL
0
415
0
270
1-25
480
X
600
26-50
600
1-25
960
X
240

Needs Estimation:
-

2,000 kcal offered to patients per day on average; 70 grams PRO/day offered
Pt. needs: 154 lbs current wt., intact skin, significant change of status- inadequate oral
intakes (total dependence), wt. loss, decreased chewing/swallowing ability- dysphagia
diet consistency
o 1.0 g/kg PRO
o 30 kcal/kg (BMI= 20, but pt. losing wt.)
o 30 mL/kg fluids

Meeting Needs:
Needs
Kcal
PRO
Fluids

2,100 kcal/day
70 grams/day
2,100 mL/day

Actual
360 kcal/day
12.6 grams/day
509 mL/day

Pt. is currently not meeting estimated needs for kcal, PRO, or fluids. Pt. is currently consuming
about 18% of the amount offered, which calculates to 360 kcal/day (needs about 1,740 kcal more
per day to reach 2,100 kcal) and about 12.6 grams PRO/day (needs about 57 grams PRO more
per day to reach 70 grams). His fluids are currently averaging 509 mL/day (less than half of what
pt. needs). Pt. recently admitted to hospital for dehydration relating to inadequate fluid intake
and thickened liquid diet order.
Pt. has a normal BMI, but is continuing to lose weight. He has total dependence on intake in
addition to dysphagia diet.