Cellular Nutrition in Support of Early Multiple Organ Failure (14)

In: Cellular Nutrition

8 Jun 2013

Furthermore, direct delivery of glutamine, the small bowel enterocytes preferred oxidative fuel, can preserve the barrier function of the mucosa and reduce endotoxin leakage into the circulation. Short-chain fatty acids are the preferred substrate of the colonic enterocyte, and their intracolonic infusion has improved diversion colitis in humans.
When total parenteral nutrition (TPN) is indicated, a 3-in-1 delivery offers advantages over separate lipid, dextrose, and amino acid infusions. In North America, 38% of TPN is administered as 3-in-l admixtures, and the proportion is expected to increase. The constituents of the bag can be tailored to the individual patients (changing) requirements without changing lines and bottles. A central pharmaceutical facility for compounding the admixtures ensures a high standard of sterility and quality control.
Caloric Requirements
No advantage is gained by supplying more calories than the basal metabolic requirement, which is calculated as a function of the patient*s weight, height, age, degree of stress, and degree of activity. An average resting adult with a basal metabolic rate of 2,000 kcal/d will need 3,000 kcal only when in a severe septic state and will rarely, in severe burns, require up to 4,000 kcal.


About this blog

Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.

Photostream

Future-Farmers-Of-America
Massive NIH Grant to Study Benefits of SMT for Back Pain https://t.co/aTw5IPC02k
Federal agencies partner for military and veteran pain management research https://t.co/3DnUOgQ1Lt https://t.co/zrodBLjyKd
Artemisia - mugwort, wormwood, and sagebrush belonging to the daisy family Asteraceae
Artemisia - mugwort, wormwood, and sagebrush belonging to the daisy family Asteraceae
Bunch of juniper berries on a green branch in autumn
Bunch of juniper berries on a green branch in autumn
Bunch of juniper berries on a green branch in autumn
Stethoscope and keyboard macro concept

Tags