Enternal and Parenteral Nutrition in the Critical Care Setting Essay

Enteral and Parenteral Nutrition in the Critical Care mise en sceneManagement of patient nutrition has long been a topic of controversy. Questing of timing, way of administration and composition of cater solution constituents are several variables that fate 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. around examples of increased catabolism are multiple injury trauma, sepsis, organ sorrow (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.EnteralNo associated immune suppression, no associated transmitting complications, easier to maintain electrolyte balance. ParenteralImmune suppression (the converse is besi des true- malnutrition also causes immune suppression), fatty liver, potential for pneumothorax, line infections, loss of gut barrier, hyperosmolality, refeeding syndrome alimentation 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 clinica...