Question

I. Menu Modification

Check (√) on the box if the menu is allowed for the specified diet. Cross mark (x) if not allowed, then change the menu item.

Breakfast	Low Salt, Low Fat	Low Purine	Diabetic
Fried rice
Longganisa
Tomato with patis
Creamed banana cake
Coffee 3-in-1

II. Tube Feeding

The patient is on TF 1900 cal 1.5:1 in 5EF. Feeding was started at 3PM, PNSS flushing is used before and after feeding, and probiotic is needed.
1.Volume and frequency=
2.Flushing=
3.Time=

III. Parenteral

1. Patient A is on Nutriflex 1500 cal in 1250 ml. Compute for the following:
a. Infusion in 24 hours=
b. Infusion in 36 hours=

2. Patient B is on Mannitol 1500 ml in 24 hours. Compute for:
a. Calories=

Answer 1

1.

Breakfast	Low Salt, Low Fat	Low Purine	Diabetic
Fried rice	x	x	x
Longganisa	x	x	x
Tomato with patis	√	√	√
Creamed banana cake	x	x	x
Coffee 3-in-1	√	√	√

2.

1.Volume and frequency=Water 1200 ml, total fluids 2100 ml
2.Flushing= 900 ml (150 mlq4hr)
3.Time=24 hours

3.

Parenteral assuming over 24 hours

1

a. 1500 calorie in 1250 ml

Assuming 2000 calorie to be given per day

Infusion in 24 hours= 1666 ml

b. Infusion in 36 hours

2500 ml

2 each ml of mannitol contains 1.5 cal

Then 1500 ml mannitol would be 2250 cal in 24 hours