Table 2. Determining Stress Factor

Clinical Condition
Stress Factor
Maintenance without Stress
Fever
Routine/elective surgery, minor sepsis
Cardiac failure
Major surgery
Sepsis
Catch-up Growth
Trauma or head injury
1.0 - 1.2
12% per degree > 37 C
1.1 - 1.3
1.25 - 1.5
1.2 - 1.4
1.4 - 1.5
1.5 - 2.0
1.5 - 1.7


Once clinically improved and beyond the critical phase of their illness (Day 7 - 10 and beyond), the goal for the PICU patient will be resumption of growth. When this occurs, the RDA tables (Table 3) may once again be used for determination of caloric and protein requirements. However, given limited activity, 70 - 90% of the RDA may be appropriate for children > age 3.