Fresenius Kabi

How much energy and fluid is required?

The amount of energy required can be calculated as follows:
the desired weight of the patient x factor = daily caloric requirement.

The factor is taken from the following table:

Factors influencing the energy requirement
Factor (kcal/kg body weight)
Bedridden, geriatric patient
25-29
Postoperative phase, fever
30-35
Cancer patients
30-45
Infections, polytrauma
40-45
Superficial burns of 20 %
41-60
Mobile patients at home:
Light physical activity
31
Average physical activity
36

Example:
The patient weighs 70 kg. He does light physical activities at home. His daily energy requirement is: 70 kg x 31 kcal/kg = 2170 kcal per day.

A patient's fluid requirement is calculated as follows:
30-40 ml/kg body weight. In cases of fever, vomiting or diarrhoea, 500 to 1000 ml per day must be added.

Example:
The patient weighs 60 kg. His regular fluid requirement is 60 kg x 40 ml/kg body weight = 2400 ml per day.