OPPapers.com Essay Index >> Science >> Enternal Nutrition In Icu
We have many free term papers and essays on Enternal Nutrition In Icu. We also have a wide variety of research papers and book reports available to you for free. You can browse our collection of term papers or use our search engine.
enternal nutrition in icu. Enteral and Parenteral Nutrition in the Critical Care
Setting Management of patient nutrition has long been a topic of controversy. ...
Submitted by chasm on June 7, 2005
Category: Science
Words: 576 | Pages: 3
Views: 149
Popularity Rank: 52,189
Average Member Grade: N/A (Add a Comment / Grade this Paper)
Enteral and Parenteral Nutrition in the Critical Care Setting
Management of patient nutrition has long been a topic of controversy. Questing of timing, route of administration and composition of feeding solution constituents are several variables that share a lack of consensus.
There is a 50% rate of malnutrition cited in hospitalized patients.
Many states associated with critical care admissions have altered metabolic rates. Some examples of increased catabolism are multiple injury trauma, sepsis, organ failure (CHF, ARF, RF), and ventilator dependent status. It is important to assess for a history of such hyper- or altered metabolic states like Diabetes Melitus, Alcoholism, Renal Failure, and COPD.
Over feeding is associated with: immunosuppression, hyperglycemia, liver dysfunction and refeeding syndrome.
Enteral No associated immune suppression, no associated infection complications, easier to maintain electrolyte balance.
Parenteral Immune suppression (the converse is also true- malnutrition also causes immune suppression), fatty liver, potential for pneumothorax, line infections, loss of gut barrier, hyperosmolality, refeeding syndrome
Feeding tubes – great option, if the gut works, use it.
Prealbumin (2-3 day t1/2)
Transferrin (8-10 day t1/2)
Albumin (14-20 day t1/2)
Nitrogen balance studies can aid in the clinical picture of nutrition status although there is not any clinical evidence of their effect on morbidity and mortality
BMI = (weight in kg) / (÷height in meters)
MEE (measured energy expenditure) 104.67 – 146.54 kj/kg can be used to estimate the avg. daily caloric requirement
Mifflin-St Jeor formula REE = 9.99 x weight + 6.25 x height - 4.92 x age + 166 x sex (males, 1; females, 0) - 161. Simplification of this formula REE (males) = 10 x weight (kg) + 6.25 x height...
You must Login to view the entire paper.
If you are not a member yet, Sign Up for free!