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Tube feeding: ml per hour and protein per day

How many ml per hour should the feeding pump run to deliver what's ordered?

Answer: When a citizen or patient gets tube feeding, the prescription is often energy per day, e.g. 1,500 kcal, and the pump runs a set number of hours. The calculator converts with the tube feed's energy density (on the packaging, typically 1.0–2.0 kcal/ml) to ml per day and ml per hour and shows how much protein it gives. The prescription comes from doctor or dietitian. The calculator helps you check the pump's setting and the nutrition plan.

Formula

Sondemad pr. døgn (ml) = ordineret energi (kcal) ÷ energitæthed (kcal/ml)

Hastighed (ml/time) = ml pr. døgn ÷ timer pumpen kører

Protein (g) = ml pr. døgn × protein pr. 100 ml ÷ 100

Eksempel: 1.500 kcal ÷ 1,0 kcal/ml = 1.500 ml. Over 20 timer er det 75 ml/time og 60 g protein

Symbols and units in the formula
SymbolMeaningUnit
ordineret_kcalOrdered energy per daykcal
energitaethedTube feed energy (on packaging)kcal/ml
protein_100mlProtein per 100 ml (on packaging)g
timerHours the pump runs per daytimer
=Pump's speedml/time
=Tube feed per dayml
=Protein per dayg

Validity and source

Source
Nutritional calculation based on the product's declaration (kcal/ml and g protein/100 ml)

Does not apply when

  • Water for probe rinsing and extra fluid is not included. It is in the fluid prescription. Start-up is often slower than the final rate after the prescription. Follow it, and inform staff if the person develops nausea, bloatedness or diarrhoea.

Worked example

The calculator's own default values inserted. The figures are calculated with exactly the formula the tool uses.

Substituted

  • Ordered energy per day1,500 kcal
  • Tube feed energy (on packaging)1 kcal/ml
  • Protein per 100 ml (on packaging)4 g
  • Hours the pump runs per day20 timer

Giver

  • Pump's speed75 ml/time
  • Tube feed per day1,500 ml
  • Protein per day60 g

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Sådan bruger du den

En borger eller patient, der får sondemad, har en ordination i kcal pr. døgn. Pumpen skal stilles til ml i timen. Du regner ud, hvor meget sondemad der skal bruges, og hvor meget protein borgeren får.

Step by step

  1. Find den ordinerede energi pr. døgn.
  2. Læs energien pr. ml på sondemaden.
  3. Del energien med kcal/ml. Det giver ml pr. døgn.
  4. Del med de timer, pumpen kører. Det giver ml i timen.
  5. Læs protein pr. 100 ml, og regn proteinet ud.

Typical errors

  • At regne med 1 kcal/ml, når sondemaden er 1,5 kcal/ml.
  • At glemme vand til skylning. Det står i væskeordinationen.
  • At starte med den fulde hastighed, når ordinationen siger langsom opstart.

Examples from everyday life

Standard sondemad

En borger efter en apopleksi har en ordination på 1500 kcal. Sondemaden har 1,0 kcal/ml og 4 g protein pr. 100 ml. Pumpen kører 20 timer.

Ordered energy per day
1,500 kcal
Tube feed energy (on packaging)
1 kcal/ml
Protein per 100 ml (on packaging)
4 g
Hours the pump runs per day
20 hours

It means: Pumpen skal køre 75 ml/time. Borgeren får 1,500 ml og 60 g protein.

Energitæt sondemad

En patient har en ordination på 1800 kcal med en sondemad på 1,5 kcal/ml og 7,5 g protein pr. 100 ml. Pumpen kører 16 timer.

Ordered energy per day
1,800 kcal
Tube feed energy (on packaging)
1.5 kcal/ml
Protein per 100 ml (on packaging)
7.5 g
Hours the pump runs per day
16 hours

It means: Hastigheden er 75 ml/time. Det er 1,200 ml i døgnet med 90 g protein.

Only at night

En borger spiser lidt om dagen og får 1000 kcal om natten over 10 timer. Sondemaden har 1,5 kcal/ml og 6 g protein pr. 100 ml.

Ordered energy per day
1,000 kcal
Tube feed energy (on packaging)
1.5 kcal/ml
Protein per 100 ml (on packaging)
6 g
Hours the pump runs per day
10 hours

It means: Pumpen skal køre 67 ml/time i 10 timer. Det giver 40 g protein.

Rule of thumb

Ved 1 kcal/ml er ml det samme som kcal.

How to check the answer

Gang ml/time med timerne og med kcal/ml. Så skal du få den ordinerede energi igen.