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.

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy
1 kcal/mL1200 kcal/day? mL/h20 h/day

Practice exercise (made-up values, not clinical guidance). A patient needs 1200 kcal a day from a tube feed that provides 1 kcal/mL. The feed runs by pump for 20 hours a day. At what rate R do you set the pump, in mL/h? Round to the nearest whole number.

1200 kcal/day1 kcal/mL20 h
R = mL/h
2.Easy
2 kcal/mL1200 mL/day8 × ? mL8× per day

Practice exercise (made-up values, not clinical guidance). A patient is prescribed 1200 mL of formula a day, given as 8 equal bolus feeds. What volume V is given in each bolus? Round to the nearest whole number.

1200 mL/day8 boluses
V = mL
3.Medium
44 g/L1.3 g/kg/day55 mL/h87 kg20 h/day5 g/scoopn = ?

Practice exercise (made-up values, not clinical guidance). An 87 kg patient needs 1.3 g of protein per kg a day. The tube feed contains 44 g of protein per litre and runs at 55 mL/h for 20 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.

87 kg1.3 g/kg/day44 g/L55 mL/h · 20 h5 g/scoop
n =
4.Medium
1 kcal/mL84% free water65 mL/hevery 6 h64 kg · 35 mL/kg/day24 h/dayV = ? mL

Practice exercise (made-up values, not clinical guidance). A 64 kg patient has a fluid goal of 35 mL/kg/day and receives all fluid through a feeding tube. The formula is 84% free water and runs at 65 mL/h for 24 hours a day. The rest of the fluid is given as water flushes every 6 hours. What volume V is each flush? Round to the nearest whole number.

64 kg35 mL/kg/day84%65 mL/h · 24 hevery 6 h
V = mL
5.Hard
24 hdextrose 12.5%1800 mLamino acids 4.25%1800 mLlipid 20%500 mL · 2 kcal/mLN = protein/6.25NPC : N = ? : 1

Practice exercise (made-up values, not clinical guidance). Over 24 hours a patient receives 1800 mL of parenteral nutrition with final concentrations of 12.5% dextrose and 4.25% amino acids, plus 500 mL of 20% lipid emulsion (2 kcal/mL). Find the non-protein kilocalorie to nitrogen ratio NPC : N (the number x in x : 1). Round to the nearest whole number.

1800 mLdextrose 12.5%amino acids 4.25%lipid 500 mL · 2 kcal/mL
NPC : N =
6.Hard
24 hdextrose 17.5%2400 mLamino acids 3.5%2400 mLlipid 10%250 mL · 1.1 kcal/mLN = protein/6.25NPC : N = ? : 1

Practice exercise (made-up values, not clinical guidance). Over 24 hours a patient receives 2400 mL of parenteral nutrition with final concentrations of 17.5% dextrose and 3.5% amino acids, plus 250 mL of 10% lipid emulsion (1.1 kcal/mL). Find the non-protein kilocalorie to nitrogen ratio NPC : N (the number x in x : 1). Round to the nearest whole number.

2400 mLdextrose 17.5%amino acids 3.5%lipid 250 mL · 1.1 kcal/mL
NPC : N =

Answer key

  1. 1. R = 60 mL/h
  2. 2. V = 150 mL
  3. 3. n = 13
  4. 4. V = 232 mL
  5. 5. NPC : N = 144
  6. 6. NPC : N = 127

Full step-by-step solutions: practise this topic on examproblems.com.