What is a good estimate of nutritional needs of a patient with a bone marrow transplant? (protein and energy)

What is a good estimate of nutritional needs of a patient with a bone marrow transplant? (protein and energy)

• A. Energy needs will vary... approximately 30-35 kcal/kg/day; protein intake 1.5 g/kg during the first 1-3 months after transplantation
• B. Energy needs around 1.0 x BEE and protein 0.8 g/kg
• C. Energy needs around 1.2 x BEE and protein 1.0 g/kg
• D. Energy needs around 1.8 x BEE and protein 2.0 g/kg

Answer: (A)

Post-transplant patients experience heightened catabolic stress and immune demands, so their energy and protein needs are elevated to support healing, tissue repair, and immune function. Providing about 30–35 kcal per kilogram per day helps meet the increased energy requirements and spare protein for repair rather than using it for energy. Protein needs are raised to support wound healing, nitrogen balance, and immune cell production, with about 1.5 g per kilogram per day recommended during the first 1–3 months after transplantation. Lower energy targets or lower protein targets would likely fall short of supporting recovery in this stressed state, while markedly higher targets can be difficult to tolerate and may not yield additional benefit in this early phase.

Post-transplant patients experience heightened catabolic stress and immune demands, so their energy and protein needs are elevated to support healing, tissue repair, and immune function. Providing about 30–35 kcal per kilogram per day helps meet the increased energy requirements and spare protein for repair rather than using it for energy. Protein needs are raised to support wound healing, nitrogen balance, and immune cell production, with about 1.5 g per kilogram per day recommended during the first 1–3 months after transplantation.

Lower energy targets or lower protein targets would likely fall short of supporting recovery in this stressed state, while markedly higher targets can be difficult to tolerate and may not yield additional benefit in this early phase.