Question

Mr Cooper is receiving full strength Osmolite 1.5 at 50 mLs/hr x 24 hours in the hospital. He is getting ready to go home on bolus feedings. How much calories, protein and free water is he receiving in the hospital? Calculate a bolus feeding regimen for Mr Cooper to follow at home that provides similar calories and protein as his hospital feeding and provides 1 mL per kcal of free water. Is Mr. Cooper meeting the RDI for vitamins & minerals??

Answer 1

In hospital

Osmolite (1.5 Cal) is received at the rate of 55 mL/hr.

• Osmolite must be started at 10 mL/hr, titrate by 10-20 mL/hr every 4 hours to goal
• The two additional protein packets (Beneprotein) per day must also be administered.
• About 300 ml free water flushes every 4 hours (75 mL/hr) must be administered

At home

Osmolite (1 Cal) is received at the rate of 80 mL/hr

• Osmolite must be started at 20 mL/hr, titrate by 10-20 mL/hr every 4 hours to goal
• The two additional protein packets (Beneprotein) per day must also be administered.
• About 200 mL free water flushes every 4 hours (50 mL/hr) must be administered