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patient?",[215],{"type":216,"data":217},"free_text",{"readDurationInSeconds":218,"title":219,"text":220},52.800000000000004,"Pop Quiz: Jun 27, 2024","\u003Cdiv>\u003Cp>Alfred is an ICU patient whose daily nutritional needs are 1650–1800 calories and 71–92 grams of protein. He is currently receiving propofol at a rate of 15.6 mL \u002F hr. Using a standard tube feeding formula with a calorie density of 1.5 kcal \u002F mL, calculate Alfred’s goal continuous tube feeding rate.\u003C\u002Fp>\u003Col>\u003Cli>30 mL \u002F hr\u003C\u002Fli>\u003Cli>\u003Cstrong>35 mL \u002F hr\u003C\u002Fstrong>\u003C\u002Fli>\u003Cli>40 mL \u002F hr\u003C\u002Fli>\u003Cli>45 mL \u002F hr \u003C\u002Fli>\u003C\u002Fol>\u003Cp>\u003Cstrong>Answer:\u003C\u002Fstrong> The first step here is to calculate how many calories Alfred is receiving from propofol, which provides 1.1 kcal per mL. A propofol rate of 15.6 mL \u002F hr x 24 hours x 1.1 kcal \u002F mL would provide 411 calories per day. To figure out Alfred’s adjusted calorie goals on propofol, we will subtract 411 calories from the upper end of his caloric needs (i.e., 1800 calories). 1800 kcals – 411 kcals = 1389 kcals. To find the goal continuous rate for this patient, divide 1389 calories by 24 hours and then by the formula’s calorie density of 1.5 kcal \u002F mL, which gives a rate of 38.5 mL \u002F hr. Since tube feeding rates are ordered as multiples of five, we can round down to 35 mL \u002F hr or up to 40 mL \u002F hr. A rate of 35 mL \u002F hr plus propofol provides 1671 kcal (35 mL \u002F hr x 1.5 kcal \u002F mL x 24 hours = 1260 kcal + 411 kcal from propofol = 1671 total kcal). A rate of 40 mL \u002F hr plus propofol provides 1851 kcal (40 mL \u002F hr x 1.5 kcal \u002F mL x 24 hours = 1440 kcal + 411 kcal from propofol = 1851 total kcal), which exceeds the patient’s calorie goals by 51 kcals. Therefore, the correct answer is a rate of 35 mL \u002F hr, as 30 mL \u002F hr would fall short of Alfred’s calorie goals and 45 mL \u002F hr would exceed them. \u003C\u002Fp>\u003C\u002Fdiv>\u003Cp> \u003C\u002Fp>\u003Cp>\u003Cstrong>Not the answer you expected? Brush up on your understanding of inpatient nutrition essentials with our \u003C\u002Fstrong>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fcourses\u002Finpatient-nutrition-essentials?utm_source=nonmember&utm_medium=email&utm_campaign=it361\">\u003Cstrong>course\u003C\u002Fstrong>\u003C\u002Fa>\u003Cstrong>!\u003C\u002Fstrong>\u003C\u002Fp>",{"courses":222,"showAwardsBelow":48},[],{"id":224,"name":225,"image":226,"profession":227,"relativeUrl":230,"specializations":231},1563,"Franz Wiesbauer, MD MPH","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401",{"name":228,"description":229},"Internist","Franz is the founder and CEO of Medmastery. 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Learn how to treat mild and moderate COPD exacerbations—and when to escalate care.",{"alt":286,"title":246,"size":287,"location":288},"Older patient using a handheld nebulizer to inhale bronchodilator medication during an acute COPD exacerbation",{"width":269,"height":269},{"bucket":250,"key":289},"\u002F2026-04\u002FC133(4)_ exacerbations_magazine image.png",{"id":291,"title":292,"relativeURL":293,"image":294,"professionLong":295,"profession":296,"weight":298},5365,"Siamak Moayedi, MD","\u002Fteachers\u002Fsiamak-moayedi-md","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf02-1064-4074-817b-0eb5de6ded74","Professor and Director of Medical Student Education, University of Maryland and Course Director, Essential and Critical Procedures, Emergency Medicine.",{"name":297},"Emergency medicine physician",1533,"\u002Fmagazine\u002Facute-copd-exacerbation-treatment",191,"4m",{"created":303,"updated":304,"published":305},1776705362,1776710540,1776710541,{"seo":307,"og":310},{"title":308,"description":309},"Goal continuous tube feeding rate calculation | Medmastery","Calculate the goal continuous tube feeding rate for this patient",{"title":311,"description":312,"image":313},"Can you calculate the tube feeding rate? | Medmastery","Calculate goal continuous tube feeding rate for this ICU patient.",null,{"id":315,"created":316,"updated":317,"published":318},1054,1717532425,1745946587,1717532352]