Surgery Book

Dermatology

  • Nutrition in Wound Healing

Infectious Disease

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Nutrition in Wound Healing

Aka: Nutrition in Wound Healing
  1. See Also
    1. Wound
  2. Pathophysiology
    1. Malnutrition impedes Wound Healing
      1. Weight loss over 15 to 25% of body weight
      2. Protein depletion
    2. Vitamin Deficiency impedes Wound Healing
      1. Vitamin C Deficiency (Scurvy is a dramatic example)
      2. Vitamin A Deficiency
      3. Zinc Deficiency
  3. Precautions
    1. No significant evidence supports Nutritional Supplementation for Pressure Ulcer prevention or management
      1. Langer (2014) Cochrane Database Syst Rev (6):CD003216 +PMID:24919719 [PubMed]
  4. Management: Assess Adequate Dietary Intake
    1. Adequate protein intake and calorie intake
    2. Adequate fluid intake
  5. Management: Perform nutritional assessment every 3 months
    1. Serum Albumin <3.5 grams
    2. Lymphocyte Count <1500
    3. Low Total Cholesterol (<100 suggests malnutrition)
    4. Diminshed oral intake
    5. Weight change
  6. Management: Malnourished with continued inadequate intake
    1. Consider tube feeding for Positive Nitrogen Balance
    2. Calories: 30-35 kcal/kg/day
    3. Protein: 1.25-1.50 grams/kg/day
    4. Vitamin And Mineral supplementation
  7. Management: Unsupported Vitamin Supplementation (possible efficacy)
    1. Vitamin C 500 mg PO bid
    2. Iron Supplementation
    3. Zinc supplementation

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