Nutritional support

53


Nutritional support


Nutritional support may range from simple dietary advice to long-term total parenteral nutrition (TPN). In between is a whole spectrum of clinical conditions and appropriate forms of nutritional support (Fig 53.1). As we move to the right, climbing the scale of severity of disease, we increase the level of support and in so doing increase the need for laboratory back-up. The clinical biochemistry laboratory plays an important role in the diagnosis of some disorders that require specific nutritional intervention, e.g. diabetes mellitus, iron deficiency anaemia and hyperlipidaemia, but a much greater role is played in the monitoring of patients receiving the different forms of nutritional support.




What do patients need?


Assessing the dietary nutritional requirements of some patients is a highly specialized task, but some general guidelines can be considered. A balanced mix of nutrients must contain adequate provision for growth, healing and pathological losses, e.g. a draining fistula. Where patients are able to eat a mixed varied diet, the detailed consideration of their specific dietary intakes is seldom an issue. However, for those patients where the clinical team has to assume the responsibility of providing the balance of nutrients, much greater care must be taken. The Malnutrition Universal Screening Tool (MUST) is routinely used in hospitals to help identify adults who are underweight and at risk of malnutrition. MUST considers weight, height, BMI and recent unplanned weight changes, and takes into account the acute disease effect. Individual nutritional requirements will vary depending on the phase of injury/recovery. There are several predictive equations available for estimating adult energy requirements (see below). Activity and stress factors must also be considered when calculating requirements and will change depending on clinical status.


Jun 18, 2016 | Posted by in BIOCHEMISTRY | Comments Off on Nutritional support

Full access? Get Clinical Tree

Get Clinical Tree app for offline access