Nutrition Part IV
Part 4: Parenteral Nutrition
Summary
In addition to the high prevalence of malnutrition in patients admitted to intensive care units, critical illness further increases the risk and severity of malnutrition. The breakdown of muscle proteins and lipolysis are undesired components of the stress response and cannot be inhibited during the acute phase of critical illness. If left uncontrolled, the long-term consequences include a high rate of disability, functional impairment, and healthcare-related costs. Appropriate provision of energy substrates, proteins and micronutrients (vitamins and trace elements) is required during the rehabilitation process, together with physical activity.
General Information
Enrolled trainees 1588
Open 28.05.2019
Available for ESICM members
Student effort 3
Last Updated May 13, 2024
Intended Learning Outcomes
- Describe the indications for parenteral nutrition
- Outline essentials of parenteral nutrition prescription
- Describe the advantages and disadvantages of parenteral nutrition
- Discuss when both methods of nutrition should be combined
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 2.2 Undertakes timely and appropriate investigations
- 2.8 Liaises with radiologists to organise and interpret clinical imaging
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.7 Recognises and manages the patient with acute gastrointestinal failure
- 4.1 Prescribes drugs and therapies safely
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 4.9 Co-ordinates and provides nutritional assessment and support
- 7.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families
- 11.6 Critically appraises and applies guidelines, protocols and care bundles
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