The nutritional support in critically ill patients can be explained in 2 ways
1.Enteral Nutrition
2.Parenteral nutrition
It is worth remembering that enteral nutritional is always the preferred route. The reason is clear.
1.Enteral nutrition helps mucosal integrity and thereby it minimizes the risk of bacterial colonization.
2.Reduces gastro-intestinal bleeds
3.Sepsis and its complications are reduced.
There has been an extensive study done on the role of aminoacids and fatty acids but the conclusions have been inconclusive.
Now lets talk about the 2.Parenteral nutrition
If the enteral nutrition is not applicable or worse has failed then parenteral nutrition is the way to go.
But remember that its costly affair and not many patients may be able to afford it especially if you are a doctor in the third world country.
Problems with parenteral nutrition {complications}
1.Catheter related sepsis
2.Intestinal mucosal atrophy
3} Standard solutions related problems.
Apart from Nutritional support lets consider the other support a critically ill patients need.
1.Ventilatory Support
Modes-Controlled mandatory ventilation
---Synchronized intermittent mandatory ventilation
---Positive pressure ventilation and
---Positive controlled ventilation
2.Circulatory support
---Use of inotropes like adrenaline and nor-adrenaline and dobutamin
3.Renal Support
Dialysis in critically ill patients is very helpful to maintain renal perfusion, treat sepsis and provide renal replacement therapy.
Remember in the management of critically ill patients the identification and admission of such patients in High dependency units called the Intensive care units is the first step.
The rest should be the Ventilatory support, Circulatory support, Renal and nutritional support.
Abdul Matynne
Visit our site http://www.nutritioninfopage.com to learn about all forms of nutrition. http://www.nutritioninfopage.com http://www.nutritioninfopage.com
You must add some fresh cherries, which are now in... Read More
Finally, dieters and healthy eaters everywhere have reason to rejoice,... Read More
People who consume too much alcohol have good chance of... Read More
Essential fatty acids are the number one recommendation for anyone... Read More
Recently, I had the pleasure of seeing my 6-month old... Read More
Anyone who has spent a day fasting from food, or... Read More
Since the 1930's the western diet has dramatically changed. This... Read More
Bye Bye HolidaysHoping everyone had a fun, fantastic, exciting and... Read More
Water is a vitally important component of any valuable and... Read More
As any student of chemistry will assure you, acids and... Read More
BASIC MEAL & MENU PLANNINGAs a basis for meals and... Read More
Do you notice your child putting off going to the... Read More
In the brain, a typical protein can live for approximately... Read More
Salt was used long before recorded history began. One of... Read More
The reason I remember the first time I was served... Read More
I start from the premise that eating instinctively means eating... Read More
The proliferation of fast food restaurants, convenience stores, and vending... Read More
What I am also going to point out is the... Read More
What ancient tribes and people of the Amazon have known... Read More
Some of the things you think you know that just... Read More
This is usually the forgotten element of most mass programs.... Read More
If you have high cholesterol, the American Heart Association's low-cholesterol,... Read More
Although many realize that the liver has its own cleansing... Read More
Archeological records indicate that man has cultivated the olive tree... Read More
So, what is new about this that you already don't... Read More
reliable home cleaners Buffalo Grove ..Here is a continuation of the light and darkness metaphor:... Read More
Since 1994, food manufacturers have required the Food and Drug... Read More
After reading this, you'll never look at a banana in... Read More
The reason I remember the first time I was served... Read More
With new research, new products and new skin protection advice... Read More
Beverages - and not just alcohol - are a significant... Read More
I'd like to explain an important concept that most online... Read More
Making simple changes to your food diet can help remedy... Read More
The most incredible thing you can do for yourself is... Read More
Here's something you probably don't know. The fruit and vegetables... Read More
"The physician who knows only medicine, knows not even medicine."... Read More
Bread is one of the oldest known recipes to man.... Read More
Today's tip is on hypoglycemia (low blood sugar).Hypoglycemia affects both... Read More
The key to better health is learning the difference between... Read More
You say you don't know what glyconutrients are? You are... Read More
You're always hungry right? The last thing you have time... Read More
BASIC MEAL & MENU PLANNINGAs a basis for meals and... Read More
After WLS we must concentrate on eating nutrient rich food.... Read More
Fibromyalgia is a chronic and potentially life-altering disorder with symptoms... Read More
Oats (botanical name Avena sativa)An oat is a grass that... Read More
Coconut oil is less known compare to olive oil, corn... Read More
Are you concerned about taking care of your body before... Read More
If you do not take time to stand back at... Read More
You may have noticed an ever-expanding choice of oils at... Read More
It slows ageing, promotes healthy vision, has anti-cancer properties, increases... Read More
Nutrition |