Nutrition Therapy in Sepsis.
Sepsis is characterized by early massive catabolism, lean body mass (LBM) loss, and escalating hypermetabolism persisting for months to years. Early enteral nutrition should attempt to correct micronutrient/vitamin deficiencies, deliver adequate protein and moderated nonprotein calories, as well-nourished patients can generate reasonable endogenous energy. After resuscitation, increasing protein/calories are needed to attenuate LBM loss and promote recovery. Malnutrition screening is essential, and parenteral nutrition can be safely added when enteral nutrition is failing based on preillness malnutrition. Following discharge from intensive care unit, significantly increased protein/calorie delivery is required for months to years to facilitate functional and LBM recovery.
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Related Subject Headings
- Sepsis
- Practice Guidelines as Topic
- Parenteral Nutrition
- Nutritional Support
- Humans
- Enteral Nutrition
- Emergency & Critical Care Medicine
- Critical Illness
- Critical Care
- 4205 Nursing
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Sepsis
- Practice Guidelines as Topic
- Parenteral Nutrition
- Nutritional Support
- Humans
- Enteral Nutrition
- Emergency & Critical Care Medicine
- Critical Illness
- Critical Care
- 4205 Nursing