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Nutrition Support. Fluid and electrolyte requirements. Calculate enteral and parenteral nutrition formulations. Nutrition Support. Pt can’t meet nutritional needs by normal oral ingestion of food for greater than 5 - 7 days. NS Methods. Add snack between meals
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Nutrition Support • Fluid and electrolyte requirements. • Calculate enteral and parenteral nutrition formulations.
Nutrition Support • Pt can’t meet nutritional needs by normal oral ingestion of food for greater than 5 - 7 days.
NS Methods • Add snack between meals • Add high kcal or protein supplements at meals • Enteral supplement via tube feeding
Two Types NS • Enteral • still use the gut • Parenteral • DO NOT use the gut • veins
Dx and NS • Strong data for NS • Acute renal failure - ENS/PNS • Prolonged acute pancreatitis - ENS/PNS • Acute respiratory failure - ENS/PNS
Dx and NS • Strong data for NS • Acute Crohn’s disease - PNS • Short bowel syndrome - PNS/ENS • Severely malnourished - ENS • Entercutaneous fistulas - PNS
Dx and NS • Moderate data for NS • Acute alcoholic liver disease - ENS • Stable COPD and CF - ENS • Chronic Crohn’s - ENS • Acute ulcerative colitis - ENS/PNS
NS • Figure 59-1 from Cecil’s here • Selecting the route of nutritional support
Selecting route of nutritional support
What questions to ask to determine route of NS? • What happens if you don’t use the gut and it is functioning?
END NS General • Questions?