A non-obese critically ill patient (BMI 24, weight 75 kg) is in the acute phase of illness. What initial energy target do current ASPEN/SCCM guidelines recommend?

A non-obese critically ill patient (BMI 24

Multiple choice — select the best answer

A35–40 kcal/kg/day
B20 kcal/kg/day regardless of weight
C100% of measured resting metabolic rate on day 1
DApproximately 25–30 kcal/kg/day advancing to goal over 24–48 hours

✓ Correct answer: D. Approximately 25–30 kcal/kg/day advancing to goal over 24–48 hours ASPEN/SCCM guidelines for non-obese critically ill adults recommend advancing to 25–30 kcal/kg/day (actual body weight) over the first 24–48 hours. Starting at full repletion immediately is not recommended due to refeeding and tolerance concerns.

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Topic: Clinical Nutrition

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A non-obese critically ill patient (BMI 24, weight 75 kg) is in the acute phase of illness. What initial energy target do current ASPEN/SCCM guidelines recommend?

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