Nutrition Support Pulmonary

S & S of overfeeding vented pt

Increased CO2 (w/out preceding h/o COPD), which causes tachypnea so body maintains a normal pH.
Kcal & pro provision for obese critically ill vented pts
- 11-14 kcal/kg ABW or 60-70% of target.
- BMI 20-40: 2 g/kg IBW.
- BMI >40: 2.5 g/kg IBW.
Kcal & pro provision for non-obese critically ill vented pts
- Normal kcal.
- 1.2-2 g/kg
ASPEN guidelines for Pulmonary pts on PN?
- OK to permissively underfeed a vented pt on PN (80% of goal initially).
- Withhold soy-based lipids in first week.
- Supplement with IV glutamine.
Pulmonary pts on EN or PN should receive aggressive replacement of what nutrient? What adjuvants?
- Phos.
- Enteral or IV Glutamine.
- Fish oil/borage oil/antioxidant supplement (if ARDS),
Additional considerations for types of formulas on EN vented patients?
- Immune-modulating formulas may be used.
- Consider fluid-restricted formula.
Patients with what pulmonary dz may be appropriate for immunotherapy with omega-3 and antioxidants?

ALI/ARDS (direct injury to lung via aspiration, pna, pulmonary contusion, fat emboli, smoke or toxic gas inhalation OR indirect lung injury via systemic inflammation- sepsis, traumatic shock, pancreatitis, cardiopulmonary bypass, blood transfusions)

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Anonymous

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Card Set

Nutrition Support Pulmonary

Description

NUTR SUPPORT PULM

Updated

2017-01-02T04:34:21Z

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