PX NAME: Dionne V. Poquiz                                               ROOM NO.
302                     TYPE OF DIET:
 HEIGHT: 165cm                      WEIGHT: 48kg                         PHYSICIAN:
 AGE: 45                            DBW: 59kg                            DIAGNOSIS: Malignant Pleural effusion
 BMI REMARKS: 17.64 Underweight     SEX: MALE          FEMALE            Dx: 1900 kcal; 285 g CHO ; 95 g CHON; 40 g FAT
Bmi: 48kg (1.65 m²) = 48(2.72)                             TER: 59 x 27.5 = 1622.5 x .15 = 243 + 1622.5 = 1865.5 / 1900 kcal
        = 17.64 – UNDERWEIGHT                              C- 1900 x .60= 1140 /4= 285 g
DBW: 165-100-10%                                           P- 1900 x .20= 380 /4 = 95g
       = 65-6.5                                            F- 1900 x .20=380 / 9= 42.2 / 40 g
       = 58.5/59kg
DX: 1900 kcal, 285g CHO, 95g CHON, 40g FAT
 Food Exchange       EXCHANGES     CHO g       CHON g        Fat g          Energy (kcal)            MEAL DISTRIBUTION
 Group                                                                                               B       L       D              AM Snack   PM      Midnight Snack
                                                                                                                                               Snack
 VEGETABLE                 7            21         7                                 112                 1        2½           2½      ½          ½
 FRUIT                     6            60                                           240                 1        1½           1½      1           1
 MILK
 Whole
 Low fat                   1            12         8                 5               125                                                                      1
 Non-fat/Skim
 RICE A (LP)               2            46                                           184                                               1          1
 RICE B (MP)               4            92         8                                 400                 1         1           1       ½          ½
 RICE C (HP)               2            46         8                                 216                                               1          1
 MEAT
 Low fat                   6                       48             6                  246                 2         2           2
 Medium Fat                2                       16             12                 172                           1                   1
 High Fat
 FAT                       3                                      15                 135                 ½        1½           ½       ½
 SUGAR                        2         10                                                40                                           1                         1
 TOTAL                                 287           95               38                 1870           5½        9       6½          6½           4             2
 PX NAME: Ruffa Ubando Solomon                                               ROOM NO. 308                    TYPE OF DIET:
 HEIGHT: 5’ (152.4cm)                WEIGHT: 48kg                            PHYSICIAN:
 AGE: 32                             DBW: 47kg                               DIAGNOSIS: ATP
 BMI REMARKS: 20.96 Normal           SEX: MALE            FEMALE             Dx: 1300 kcal; 195 g CHO ; 65g CHON; 30g FAT
Bmi: 48kg (1.514 m²) = 48(2.29)               Ter: 48x 27.5=1320 /1300kcal
       =1320/ 1300kcal                                C- 1300 x .60= 780/4= 195g
       = 20.96 -NORMAL                                P- 1300 x .20= 260 /4 = 65g
DBW: 152.4-100-10%                                    F- 1300 x .20= 260/ 9= 28.88/30g
       = 52.4 - 5.24
       = 47.16 / 47kg
DX: 1300kcal, 195g CHO, 65g CHON, 30g FAT
 Food Exchange      EXCHANGES CHO g           CHON g          Fat g         Energy (kcal)        MEAL DISTRIBUTION
 Group                                                                                           B       L      D              AM Snack    PM          Midnight Snack
                                                                                                                                           Snack
 VEGETABLE                   4         12           4                                 64            1        1½       1½
 FRUIT                       3         30                                            120            1         1        1
 MILK
 Whole
 Low fat                     1         12           8                 5              125                                                                     1
 Non-fat/Skim
 RICE A (LP)                 2         46                                            184                                          1           1
 RICE B (MP)                 4         92           8                                400            1        1        1           ½           ½
 RICE C (HP)
 MEAT
 Low fat                     6                      48                6              246            2        2        2
 Medium Fat
 High Fat
 FAT                             4                                   20                 180               1        1        1          ½          ½
 SUGAR                           1      5                                                20                                            ½                          ½
 TOTAL                                 197            68             31                1339               6        7        7          2        1½               1½
 PX NAME: Juanito M. Garcia                                                    ROOM NO. 318                       TYPE OF DIET:
 HEIGHT: 157cm                       WEIGHT: 48kg                              PHYSICIAN:
 AGE: 74                             DBW: 51kg                                 DIAGNOSIS: HPN 2
 BMI REMARKS: 19.51 Normal           SEX: MALE          FEMALE                 Dx: 1300 kcal; 195 g CHO ; 65 g CHON; 30 g FAT
Bmi: 48kg (1.57 m²) = 48(2.46)                   Ter: 48x 27.5=1320 /1300kcal
        = 19.51 – NORMAL                         C- 1300 x .60= 780/4= 195g
DBW: 157-100-10%                                 P- 1300 x .20= 260 /4 = 65g
       = 57-5.7                                  F- 1300 x .20= 260/ 9= 28.88/30g
       = 51.3/51kg
DX: 1300kcal, 195g CHO, 65g CHON, 30g FAT
 Food Exchange           EXCHANGES     CHO g          CHON g           Fat g          Energy (kcal)                               MEAL DISTRIBUTION
 Group                                                                                                        B         L         D    AM Snack       PM Snack   Midnight
                                                                                                                                                                  Snack
 VEGETABLE                       4      12                 4                                64                1        1½         1½
 FRUIT                           3      30                                                 120                          1          1       1
 MILK
       Whole
      Low fat                    1      12                 8              5                125                                                                        1
   Non-fat/Skim
 RICE A (LP)                     2      46                                                 184                                             1             1
 RICE B (MP)                  4            92              8                                 400               1        1½        1½
 RICE C (HP)
 MEAT
      Low fat                 6                        46              6                     246               1        2½        2½
    Medium Fat
      High Fat
 FAT                          4                                        20                    180               1         1         1         ½        ½
 SUGAR
 TOTAL                                  192            68              31                    1319              4        7½        7½        2½        1½            1
 PX NAME: Corazon E. Moreno                                                ROOM NO. 320                     TYPE OF DIET:
 HEIGHT: 5’2 (157.48cm)            WEIGHT: 50kg                            PHYSICIAN:
 AGE: 60                           DBW: 52kg                               DIAGNOSIS: Breast CA stage 4, Chronic calculus, cholecystitis
 BMI REMARKS: 20 Normal            SEX: MALE          FEMALE               Dx: 1400 kcal; 210 g CHO ; 70 g CHON; 30g FAT
Bmi: 50kg (1.574 m²) = 50(2.47)                        Ter: 50x 27.5 =1375/ 1400kcal
        = 20 – NORMAL                                  C- 1400 x .60= 840/4= 210g
DBW: 157.48-100-10%                                    P- 1400 x .20= 280 /4 = 70g
       = 57.48-5.748                                   F- 1400 x .20= 280/ 9= 31. 11 /30g
       = 51.73/52kg
DX: 1400kcal, 210g CHO, 70g CHON, 30g FAT
 Food Exchange         EXCHANGES   CHO g          CHON g       Fat g         Energy (kcal)          MEAL DISTRIBUTION
 Group                                                                                              B      L      D            AM          PM      Midnight Snack
                                                                                                                               Snack       Snack
 VEGETABLE             4           12             4                          64                     1        1½       1½
FRUIT          4   40              160    1   1    1    ½    ½
MILK
Whole
Low fat
Non-fat/Skim   1   12    8         80                             1
RICE A (LP)    2   46              184                  1    1
RICE B (MP)    4   92    8         400    1   1    1    ½    ½
RICE C (HP)
MEAT
Low fat        5         40   5    205    2   2    1
Medium Fat     1         8    6    86                   1
FAT            4              20   180    1   1    1    ½    ½
SUGAR          2   10              40                   1         1
TOTAL              212   68   31   1399   5   6½   6½   4½   2½   2
 PX NAME: Felipe S. Salinas                                                 ROOM NO. 321_                     TYPE OF DIET:
 HEIGHT: 5'9(175.26cm)              WEIGHT: 75kg                            PHYSICIAN:
 AGE: 83                            DBW: 68kg                               DIAGNOSIS: T/C CVA
 BMI REMARKS: 24 Overweight         SEX: MALE               FEMALE          Dx: 1600 kcal; 240 g CHO ; 80 g CHON; 35 g FAT
Bmi: 75kg (1.7526 m²) = 75(3.07)                            TER: 68 27.5 =1870 kcal ×.15 = 280 - 1870 = 1590 / 1600 kcal
       = 24– OVERWEIGHT                                     C= 1600 X.60= 960/4=240g
DBW: 175.26-100-10%                                         P=1600 X .20=320/4= 80g
       = 75.26-7.526                                        F=1600 X .20=320/9= 35g
       = 67.73/68kg 27.5 =1870 kcal ×.15 = 280 - 1870 = 1540 / 1600 kcal C= 1600 X.60= 960/4=240g P=1600 X .20=320/4= 80g F=1600 X .20=320/9= 35g DX: 1600 kcal, 240g CHO,
DX: 1600 kcal, 240g CHO, 80g CHON, 35g FAT
         Food Exchange       EXCHANGES    CHO g         CHON g          Fat g         Energy (kcal)          MEAL DISTRIBUTION
         Group                                                                                               B      L      D       AM        PM         Midnight
                                                                                                                                   Snack     Snack      Snack
         VEGETABLE           5            15            5                             80                     1         1½     1½   ½         ½
         FRUIT               4            40                                          160                    1         1½     1½
         MILK
         Whole
         Low fat             1            12            8               5             125                                                               1
         Non-fat/Skim
         RICE A (LP)         2            46                                          184                                          1         1
         RICE B (MP)         5            115           10                            500                    1         1      1    ½         ½
         RICE C (HP)
         MEAT
      Low fat           6                      48        6            246                 2        2       2
      Medium Fat        1                      8         6            86                                        1
      FAT               4                                20           180                 ½        1½      1½   ½
      SUGAR             2              10                             40                                        ½   ½    1
      TOTAL                            238     79        37           1601                5½       7½      7½   4   2½   2
PX NAME: Hidalgo Matt Ritzer Manaois                          ROOM NO. 311                 TYPE OF DIET:
HEIGHT: 5’4                     WEIGHT: 80kg                  PHYSICIAN:
AGE: 30                         DBW: 58kg                     DIAGNOSIS: T/C SJS
BMI REMARKS: 30 Obese           SEX: MALE       FEMALE        Dx: 1300 kcal; 195 g CHO ; 65 g CHON; 30 g FAT
BMI: 80/( 1.625(m²) = 80/ 2.64                       TER: 56×27.5 = 1540×.15=232-1540=1309/1300kcal
       =30- OBESE                                    C=1300×.60=780/4=195g
DBW: 162.56-100-10%                                  P=1300×.20=260/4=65g
     =62.56-6.256                                    F=1300×.20=260/9=28.88/30g
     =56.30/56kg
DX: 1300kcal, 195g CHO, 65g CHON, 30g FAT
         Food Exchange           EXCHANGES   CHO g    CHON g       Fat g       Energy (kcal)          MEAL DISTRIBUTION
         Group                                                                                        B      L      D     AM      PM      Midnight
                                                                                                                          Snack   Snack   Snack
         VEGETABLE               5           15       5                        80                     1      1½    1½     ½       ½
         FRUIT                   5           50                                200                    1      1½    1½     ½       ½
         MILK
         Whole
         Low fat                 1           12       8            5           125                                                        1
         Non-fat/Skim
         RICE A (LP)             1           23                                92                                         1
         RICE B (MP)             3           69       6                        300                    1      1     1
         RICE C (HP)             1           23       4                        108                                                1
         MEAT
         Low fat                 4                    32           4           164                    1      1½    1½
         Medium Fat              1                    8            6           86                                         1
         High Fat
         FAT                     3                                 15          135                    ½      1     ½      ½       ½
         SUGAR                   1           5                                 20                                         ½       ½
         TOTAL                               197      63           30          1310                   4½     6½    6      4       3       1
 PX NAME: Natividad ESTRADA MANUEL                             ROOM NO. 319                     TYPE OF DIET:
 HEIGHT: 5’5                     WEIGHT:71kg                   PHYSICIAN:
 AGE: 74                         DBW: 59kg                     DIAGNOSIS: AGE WITH SOME SIGN OF DEHYDRATION
 BMI REMARKS: 26.10 overweight   SEX: MALE     FEMALE          Dx: 1400 kcal; 210g CHO ; 70 g CHON; 30 g FAT
Bmi: 71kg (1.65 m²) = 71(2.72)                     TER: 59×27.5 = 1622.5 ×.15=243-1622.5=1379/1400kcal
       = 26 – OVERWEIGHT                                   C=1400×.60=840/4=210g
DBW: 165-100-10%                                           P=1400×.20=280/4=70g
       = 65.1-6.51                                         F=1400×.20=280/9=31.11/30g
       = 58.59/ 59 kg
DX: 1400 kcal, 210g CHO, 70g CHON, 30g FAT
      Food Exchange       EXCHANGES          CHO g   CHON g       Fat g        Energy (kcal)       MEAL DISTRIBUTION
      Group                                                                                        B       L      D        AM      PM      Midnight Snack
                                                                                                                           Snack   Snack
      VEGETABLE           4                  12      4                         64                  1         1         1   ½       ½
      FRUIT               4                  40                                160                 1         1         1   ½       ½
      MILK
      Whole
      Low fat
      Non-fat/Skim        1                  12      8                         80                                                          1
      RICE A (LP)         2                  46                                184                                         1       1
      RICE B (MP)         4                  92      8                         400                 1         1         1   ½       ½
      RICE C (HP)
      MEAT
      Low fat             5                          40           5            205                 1         2         2
      Medium Fat          1                          8            6            86                                          1
      FAT                 4                                       20           180                 1         1         1   ½       ½
      SUGAR               2                  10                                40                                          ½       ½       1
      TOTAL                                  212     68           31           1399                5         6         6   4½      3½      2
 PX NAME: TOMILLOSO HILARIO JOSUE                                      ROOM NO. 317                 TYPE OF DIET:
 HEIGHT: 5’10                        WEIGHT: 94kg                      PHYSICIAN:
 AGE: 60                             DBW: 70kg                         DIAGNOSIS: spinal cord injury
 BMI REMARKS: 29 overweight          SEX: MALE           FEMALE        Dx: 1600 kcal; 240 g CHO ; 80 g CHON; 35g FAT
BMI: 94/ 1.778 m²) = 94/ 3.16 = 29 OVERWEIGHT                                           DBW: 177.8-100-10%
=77.8-7.78                                                             = 1925 x.15 =288-1925 =1637/1600kcal
=70.02/70kg                                                            C=1600 x.60=960/4=240g
                                                                       P=1600 x.20=320/4=80g
TER: 70 x 27.5                                                         F=1600 x.20=320/9=35g
DX: 1600kcal, 240g CHO, 80g CHON, 35g FAT
     Food Exchange     EXCHANGES     CHO g   CHON g   Fat g   Energy (kcal)        MEAL DISTRIBUTION
     Group                                                                         B       L      D           AM Snack PM      Midnight Snack
                                                                                                                       Snack
     VEGETABLE         5             15      5                80                   1         1½      1½       ½        ½
     FRUIT             5             50                       200                  1         2       1        ½        ½
     MILK
     Whole
     Low fat
     Non-fat/Skim      1             12      8                80                                                               1
     RICE A (LP)       2             46                       184                                             1        1
     RICE B (MP)       5             115     10               500                  1         1½      1½       ½        ½
     RICE C (HP)
     MEAT
     Low fat           6                     48       6       246                  2         2       2
     Medium Fat        1                     8        6       86                                              1
     FAT               5                              25      225                  1         1½      1½       ½        ½
     SUGAR             1             5                        20                                              ½                ½
     TOTAL                           243     79       37      1621                 6         8½      7½       4½       3       1½
PX NAME: SIDNEY C. LOMBOY                                                ROOM NO. 305                 TYPE OF DIET:
HEIGHT: 5’7                         WEIGHT: 90kg                         PHYSICIAN:
AGE: 46                             DBW: 63kg                            DIAGNOSIS: T/C ACUTE APPENDICITIES
BMI REMARKS: 32 - OBESE             SEX: MALE           FEMALE           Dx: 1500 kcal; _225 g CHO ; 74g CHON; 35 g FAT
                                                                                                                                                             TER: 63 x 27.5
 BMI: 90/ 1.7018 m²) = 90/ 2.8 = 32 OBESE
                                                                                            = 1732 x.15 =259-1732 =1473/1500kcal
 DBW: 170.18-100-10%
                                                                                            C=1500 x.60=900/4=225g
 =70.18-7.018
                                                                                            P=1500 x.20=300/4=75g
 =63.16/63kg
                                                                                            F=1500 x.20=300/9=35g
 Food Exchange        EXCHANGES        CHO g       CHON g        Fat g          Energy (kcal)        MEAL DISTRIBUTION
 Group                                                                                               B       L      D              AM Snack   PM      Midnight
                                                                                                                                              Snack   Snack
 VEGETABLE            5                15          5                            80                   1         1½         1½       ½          ½
 FRUIT                5                50                                       200                  1         1½         1½       ½          ½
 MILK
 Whole
 Low fat              2                24          8             10             218                  1                                                1
 Non-fat/Skim
 RICE A (LP)          1                23                                       92                                                 1
 RICE B (MP)          4                92          8                            400                  1         1          1        ½          ½
 RICE C (HP)          1                23          4                            108                                                           1
 MEAT
 Low fat              5                            40            5              205                  1         2          2
 Medium Fat           1                            8             6              86                                                 1
 FAT                  3                                          15             135                  ½         1          ½        ½          ½
 SUGAR
 TOTAL                                 227         73            36             1524                 5½        7          6½       4          3       1