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Tube Feeding Directions

Worksheet 11-3: Calculate a Tube Feeding Directions: Using the information on page 283 ("Energy Needs") and Table 10.5 (p. 284), calculate the appropriate tube feeding regimen for Robert in Case Study 11.2 on page 314 of the text. He weighs 25 pounds and is 33.5 inches long. 1. Calculate the energy and protein requirements for Robert. 2. The tube feeding formulary at your facility provides Pediasure@ for tube feeding children. Using the information at https://pediasure.com/ calculate the number of 8- ounce bottles of Pediasure@ that would be needed to meet Robert’s requirements for energy and protein in one day. 3. If Robert were in need of more fiber than Pediasure @ can provide, what other options might be appropriate for him? 4. Using the Holiday-Segar method for determining pediatric fluid needs (provided below), calculate Robert’s daily fluid requirements and determine if he will need any additional free water in addition to your recommendations for Pediasure @. (Hint: 1 g water = 1 cc water.) Holiday-Segar Method Using Weight (kg) to Determine Fluid Needs <10 100 cc/kg 11-20 1000 cc + 50 cc/kg over 10 kg 21-40 1500 cc + 20 cc/kg over 20 kg

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