Nutrition: reducing the hypermetabolic response to thermal injury.
Br J Nurs
; 27(12): 661-670, 2018 Jun 28.
Article
em En
| MEDLINE
| ID: mdl-29953277
ABSTRACT
Nutritional support is seen as a vital component in the battle to attenuate the extreme hypermetabolic response experienced by patients suffering from large thermal injuries. Protein catabolism precipitating protein malnutrition places patients at greater risk of wound infection and sepsis due to delayed wound healing. Underfeeding, aggressive feeding, feeding routes, timing of initiation of feeding and tight insulin control have all been explored extensively in the quest to understand what nutritional treatment will best attenuate the hypermetabolic response. Despite this it is suggested that the majority of patients with large thermal injuries do not receive adequate nutritional support immediately post injury. Nurses have a pivotal role to play in ensuring that thermal injury patients receive appropriate nutritional support based on the best available evidence.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Queimaduras
/
Apoio Nutricional
Limite:
Humans
Idioma:
En
Revista:
Br J Nurs
Ano de publicação:
2018
Tipo de documento:
Article