Gastrointestinal dysfunction in the critically ill: nutritional implications.

Journal Article (Journal Article)

Parenteral therapy is frequently indicated for initial repletion in the severely malnourished patient. Attention should be paid to the nutrients required for initial repletion based on the patient's metabolic needs at the time of therapy, as well as allowance for adequate calories for repletion of body and muscle mass. After the initiation of parenteral therapy and the adequate replacement of fluids and electrolytes, slow introduction of oral or enteric feeding is reasonable. This probably is best handled initially by the use of a nasogastric or nasoenteric feeding tube. However, if the patient willingly ingests oral feedings, the oral route is certainly favorable. Close attention should be paid to the adequacy of gastric emptying. Symptoms of abdominal bloating and diarrhea may require modification of the rate at which oral intake is progressing.

Full Text

Duke Authors

Cited Authors

  • Wilson, JA

Published Date

  • August 1985

Published In

Volume / Issue

  • 11 / 8

Start / End Page

  • 45 - 53

PubMed ID

  • 3930134

International Standard Serial Number (ISSN)

  • 0098-8243


  • eng

Conference Location

  • United States