Pharmacology Book

Nutrition

  • Malnutrition Following ICU Admission

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Malnutrition Following ICU Admission

Aka: Malnutrition Following ICU Admission, Post-ICU Admission Malnutrition
  1. Risk Factors: Post-ICU malnutrition
    1. Prolonged ICU admission
    2. Intubation or Tracheostomy (may interfere with swallowing)
    3. Prolonged period of poor oral intake (bowel mucosa atrophy)
    4. Sepsis
  2. Management
    1. Nutrition Consultation
  3. Complications
    1. Acalculous Cholecystitis
      1. Poor lipid intake results in bile stasis
    2. Muscle wasting
      1. Total body protein loss exceeds 2 pounds for a 3 week ICU admission
      2. Initial (first 10 days): Skeletal muscle is primary source of lost protein
      3. Later (after 10 days): Visceral muscle is lost
      4. Plank (1998) Ann Surg 228(2): 146-58 [PubMed]
  4. References
    1. Volk (2009) Am Fam Physician 79(6): 459-64 [PubMed]

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