diff --git a/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor b/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor
index b17c84b..4b86afc 100644
--- a/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor
+++ b/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor
@@ -2,14 +2,19 @@
 @using System.ComponentModel.DataAnnotations
 @using Blazored.Typeahead
 @using Domain.Constants
+@using Domain.Dtos
 @using Domain.Dtos.Sales
 @using phronCare.UIBlazor.Services.Lookups
 @using phronCare.UIBlazor.Services.Sales.DeliveryNotes
+@using phronCare.UIBlazor.Services.Sales.Quotes
+@using phronCare.UIBlazor.Shared.Modals
 
 @inject NavigationManager Navigation
 @inject IDeliveryNoteService DeliveryNoteService
 @inject ISalesLookupService SalesLookupService
+@inject IQuoteService QuoteService
 @inject IToastService toastService
+@inject IModalService Modal
 
 <EditForm Model="Model" OnValidSubmit="HandleValidSubmit">
     <DataAnnotationsValidator />
@@ -90,7 +95,7 @@
                 @if (Items.Any())
                 {
                     <div class="table-responsive">
-                        <table class="table table-sm table-bordered align-middle mb-0">
+                        <table class="table table-sm table-bordered mb-0 deliverynote-items-table">
                             <thead class="table-light">
                                 <tr>
                                     <th style="width: 60px;" class="text-center">#</th>
@@ -105,9 +110,9 @@
                                 @foreach (var item in Items)
                                 {
                                     <tr>
-                                        <td class="text-center">@item.LineNumber</td>
+                                        <td class="text-center line-number-cell">@item.LineNumber</td>
                                         <td>
-                                            <InputText class="form-control form-control-sm" @bind-Value="item.Description" />
+                                            <InputTextArea class="form-control form-control-sm item-description" rows="3" @bind-Value="item.Description" />
                                         </td>
                                         <td>
                                             <InputNumber class="form-control form-control-sm text-end" @bind-Value="item.Quantity" />
@@ -121,9 +126,9 @@
                                             </InputSelect>
                                         </td>
                                         <td>
-                                            <InputText class="form-control form-control-sm" @bind-Value="item.Notes" />
+                                            <InputTextArea class="form-control form-control-sm item-notes" rows="3" @bind-Value="item.Notes" />
                                         </td>
-                                        <td class="text-center">
+                                        <td class="text-center actions-cell">
                                             <button type="button" class="btn btn-link p-0 text-danger" title="Eliminar" @onclick="() => RemoveItem(item)">
                                                 <i class="fas fa-trash"></i>
                                             </button>
@@ -203,11 +208,66 @@
         return Task.CompletedTask;
     }
 
-    private Task OnQuoteSelected(ELookUpItem? quote)
+    private async Task OnQuoteSelected(ELookUpItem? quote)
     {
         SelectedQuote = quote;
         Model.QuoteId = quote?.Id;
-        return Task.CompletedTask;
+
+        if (quote is null)
+            return;
+
+        var quoteDto = await QuoteService.GetDtoByIdAsync(quote.Id);
+        if (quoteDto is null)
+        {
+            toastService.ShowError("No se pudo cargar el presupuesto seleccionado.");
+            return;
+        }
+
+        var mappedItems = BuildItemsFromApprovedQuote(quoteDto);
+        if (mappedItems.Count == 0)
+        {
+            toastService.ShowWarning("El presupuesto seleccionado no tiene ítems aprobados para precargar.");
+            return;
+        }
+
+        if (Items.Any())
+        {
+            var parameters = new ModalParameters();
+            parameters.Add(nameof(ConfirmModal.Title), "Reemplazar ítems");
+            parameters.Add(nameof(ConfirmModal.Message), "Ya hay ítems cargados. ¿Desea reemplazarlos por los ítems aprobados del presupuesto?");
+
+            var modal = Modal.Show<ConfirmModal>("Confirmación", parameters);
+            var result = await modal.Result;
+            if (result.Cancelled)
+                return;
+        }
+
+        Items = mappedItems;
+        ReindexItems();
+        StateHasChanged();
+    }
+
+    private List<DeliveryNoteItemRow> BuildItemsFromApprovedQuote(QuoteDto quote)
+    {
+        return quote.Items
+            .Where(item => item.Approved)
+            .Select(item => new
+            {
+                Item = item,
+                Quantity = item.ApprovedQuantity.HasValue && item.ApprovedQuantity.Value > 0
+                    ? item.ApprovedQuantity.Value
+                    : item.Quantity
+            })
+            .Where(x => x.Quantity > 0)
+            .Select((x, index) => new DeliveryNoteItemRow
+            {
+                LineNumber = index + 1,
+                OriginType = (byte)DeliveryNoteItemOriginType.QuoteDetail,
+                QuoteDetailId = x.Item.Id,
+                Description = x.Item.Description,
+                Quantity = x.Quantity
+            })
+            .ToList();
     }
 
     private string? ValidateBeforeSave()
diff --git a/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor.css b/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor.css
new file mode 100644
index 0000000..f27182d
--- /dev/null
+++ b/phronCare.UIBlazor/Pages/Sales/DeliveryNotes/DeliveryNoteCreate.razor.css
@@ -0,0 +1,33 @@
+.deliverynote-items-table td {
+    vertical-align: top;
+    padding-top: 0.75rem;
+    padding-bottom: 0.75rem;
+}
+
+.deliverynote-items-table .line-number-cell,
+.deliverynote-items-table .actions-cell {
+    vertical-align: middle;
+}
+
+.deliverynote-items-table .form-control,
+.deliverynote-items-table .form-select {
+    min-height: 38px;
+}
+
+.deliverynote-items-table .item-description,
+.deliverynote-items-table .item-notes {
+    min-height: calc(1.5em * 3 + 1rem + 2px);
+    resize: vertical;
+}
+
+.deliverynote-items-table textarea.form-control {
+    line-height: 1.35;
+}
+
+.deliverynote-items-table .text-end {
+    min-width: 90px;
+}
+
+.deliverynote-items-table .actions-cell .btn {
+    margin-top: 0.35rem;
+}