**Core Concept**
The question requires understanding of the nutritional requirements of a catabolic patient, particularly those with severe burns. A catabolic state is characterized by increased protein breakdown and energy expenditure, necessitating a high caloric and protein intake to support wound healing and tissue repair.
**Why the Correct Answer is Right**
The patient requires 40 KCal/kg body weight/day, which translates to 2600 KCal/day (40 KCal/kg x 65 kg). The infused solution contains 20% glucose, which provides approximately 600 KCal/day (20% of 3000 ml x 4 KCal/ml). This is significantly short of the required caloric intake. Furthermore, the patient requires 1 gm of protein/kg body weight/day, which is 65 gm of protein/day. The infused solution contains 4.25% protein, providing approximately 127.5 gm of protein/day (4.25% of 3000 ml x 1 gm/ml). This is also short of the required protein intake. Therefore, both protein and calories would be inadequate.
**Why Each Wrong Option is Incorrect**
**Option A:** The patient would not be getting sufficient protein. This is incorrect because, although the protein intake is short of the required amount, the correct answer is that both protein and calories would be inadequate.
**Option B:** The calories supplied would be inadequate. This is partially correct, but the question asks for both protein and calories, making option C the more comprehensive answer.
**Option D:** Too much protein is being infused. This is incorrect because the patient is not receiving sufficient protein, not excessive amounts.
**Clinical Pearl / High-Yield Fact**
In critically ill patients, especially those with severe burns, adequate nutritional support is crucial for wound healing and preventing complications such as infection and organ failure. The goal is to provide 1.5-2 times the basal energy expenditure to support catabolism and tissue repair.
**β Correct Answer: C. Both Protein and calories would be inadequate**
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