When using REE from indirect calorimetry as caloric target in a critically ill patient, how should energy delivery be adjusted?

When using REE from indirect calorimetry as caloric target in a critically ill patient, how should energy delivery be adjusted?

• A. Reduced by 10% if respiratory quotient exceeds 1.0
• B. Increased by a stress factor of 1.2-1.5 for sepsis or trauma
• C. Adjusted by a thermogenesis factor for enterally fed patients
• D. Used as the caloric target without addition of stress or activity factors

Answer: (D)