Enteral & parenteral nutrition calculations worksheet with answers

Free printable Enteral & parenteral nutrition calculations worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy
1 kcal/mL1200 kcal/day5 × ? mL5× per day

Practice exercise (made-up values, not clinical guidance). A patient on bolus tube feeding needs 1200 kcal a day from a formula that provides 1 kcal/mL. The daily amount is given as 5 equal boluses. What volume V is given in each bolus? Round to the nearest whole number.

1200 kcal/day1 kcal/mL5 boluses
V = mL
2.Easy
2 kcal/mL84 g protein/L45 mL/h18 h/dayP = ? g/day

Practice exercise (made-up values, not clinical guidance). A tube feed with 84 g of protein per litre runs at 45 mL/h for 18 hours a day. How many grams of protein P does the patient receive per day? Round to one decimal place.

45 mL/h18 h/day84 g/L
P = g/day
3.Medium
2 kcal/mL70% free water90 mL/hevery 4 h60 kg · 35 mL/kg/day18 h/dayV = ? mL

Practice exercise (made-up values, not clinical guidance). A 60 kg patient has a fluid goal of 35 mL/kg/day and receives all fluid through a feeding tube. The formula is 70% free water and runs at 90 mL/h for 18 hours a day. The rest of the fluid is given as water flushes every 4 hours. What volume V is each flush? Round to the nearest whole number.

60 kg35 mL/kg/day70%90 mL/h · 18 hevery 4 h
V = mL
4.Medium
40 g/L1.5 g/kg/day45 mL/h71 kg24 h/day5 g/scoopn = ?

Practice exercise (made-up values, not clinical guidance). A 71 kg patient needs 1.5 g of protein per kg a day. The tube feed contains 40 g of protein per litre and runs at 45 mL/h for 24 hours a day. A protein powder supplies 5 g of protein per scoop. How many scoops n a day are needed to cover the shortfall? Round up to a whole scoop.

71 kg1.5 g/kg/day40 g/L45 mL/h · 24 h5 g/scoop
n =
5.Hard
149 kg179 cmmanBMI = kg/m²E = ? kcal/day

Practice exercise (made-up values, not clinical guidance). A critically ill man is 179 cm tall and weighs 149 kg. The practice protocol gives 14 kcal/kg of actual body weight per day if the BMI is 30–50 kg/m², and 23 kcal/kg of ideal body weight (Devine) per day if the BMI is above 50 kg/m². Find the energy goal E in kcal/day. Round to the nearest whole number.

179 cm149 kgmanBMI 30–50: 14 kcal/kg actualBMI > 50: 23 kcal/kg IBW
E = kcal/day
6.Hard
24 hdextrose 25%1500 mLamino acids 5%1500 mLlipid 10%500 mL · 1.1 kcal/mLdextrose 3.4 kcal/gamino acids 4 kcal/gNPC = ? kcal

Practice exercise (made-up values, not clinical guidance). Over 24 hours a patient receives 1500 mL of parenteral nutrition with final concentrations of 25% dextrose and 5% amino acids, plus 500 mL of 10% lipid emulsion (1.1 kcal/mL). Find the non-protein energy NPC in kcal per day. Round to the nearest whole number.

1500 mLdextrose 25%amino acids 5%lipid 500 mL · 1.1 kcal/mL
NPC = kcal/day

Answer key

  1. 1. V = 240 mL
  2. 2. P = 68 g/day
  3. 3. V = 161 mL
  4. 4. n = 13
  5. 5. E = 2086 kcal/day
  6. 6. NPC = 1825 kcal/day

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