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Enteral and Parenteral Nutrition in the Critical Care Setting
Management of patient nutrition has long been a topic of controversy. Questing of timing, route of administration and composition of feeding solution constituents are several variables that share a lack of consensus.
There is a 50% rate of malnutrition cited in hospitalized patients.
Many states associated with critical care admissions have altered metabolic rates. Some examples of increased catabolism are multiple injury trauma, sepsis, organ failure (CHF, ARF, RF), and ventilator dependent status. It is important to assess for a history of such hyper- or altered metabolic states like Diabetes Melitus, Alcoholism, Renal Failure, and COPD.
Over feeding is associated with: immunosuppression, hyperglycemia, liver dysfunction and refeeding syndrome.

Enteral No associated immune suppression, no associated infection complications, easier to maintain electrolyte balance.

Parenteral Immune suppression (the......

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Approximate Word Count: 576
Approximate Pages: 3 (250 words per double-spaced page)

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