About: How Hyperalimentation May Be Necessary to Reverse Severe Malnutrition in Selected Patients Receiving Home Parenteral Nutrition     Goto   Sponge   NotDistinct   Permalink

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Description
  • Standard predictive equations may under- or overestimate caloric requirements in disease states such as obesity or in patients with a low body mass index (BMI). Although this principle is common knowledge among nutrition specialists, it is often not prioritized with other clinicians outside the intensive care unit (ICU). Indirect calorimetry (IC) is often used in the ICU to estimate caloric requirements. This article outlines a very complicated case of a cachectic man with an enterocutaneous fistula who had lost more than 50% of body weight over 2 years. In rehabilitating this patient, we found that the most common formulas of basal needs greatly underestimated the calories required to prepare him for restorative surgery. Key learning points are that in malnourished ambulatory patients, predictive equations may not adequately estimate caloric needs and IC may be required.
  • Standard predictive equations may under- or overestimate caloric requirements in disease states such as obesity or in patients with a low body mass index (BMI). Although this principle is common knowledge among nutrition specialists, it is often not prioritized with other clinicians outside the intensive care unit (ICU). Indirect calorimetry (IC) is often used in the ICU to estimate caloric requirements. This article outlines a very complicated case of a cachectic man with an enterocutaneous fistula who had lost more than 50% of body weight over 2 years. In rehabilitating this patient, we found that the most common formulas of basal needs greatly underestimated the calories required to prepare him for restorative surgery. Key learning points are that in malnourished ambulatory patients, predictive equations may not adequately estimate caloric needs and IC may be required. (en)
Title
  • How Hyperalimentation May Be Necessary to Reverse Severe Malnutrition in Selected Patients Receiving Home Parenteral Nutrition
  • How Hyperalimentation May Be Necessary to Reverse Severe Malnutrition in Selected Patients Receiving Home Parenteral Nutrition (en)
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  • How Hyperalimentation May Be Necessary to Reverse Severe Malnutrition in Selected Patients Receiving Home Parenteral Nutrition
  • How Hyperalimentation May Be Necessary to Reverse Severe Malnutrition in Selected Patients Receiving Home Parenteral Nutrition (en)
skos:notation
  • RIV/00216208:11150/14:10282900!RIV15-MSM-11150___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 2
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http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 19772
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11150/14:10282900
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • nutrition assessment; enteral nutrition; parenteral nutrition; calorimetry; nutritional support; home nutrition support (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [EFB65BA99F93]
http://linked.open...i/riv/nazevZdroje
  • Nutrition in Clinical Practice
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 29
http://linked.open...iv/tvurceVysledku
  • Edakkanambeth Varayil, Jithinraj
  • Hurt, Ryan T.
  • Kelly, Darlene G.
http://linked.open...ain/vavai/riv/wos
  • 000332768600009
issn
  • 0884-5336
number of pages
http://bibframe.org/vocab/doi
  • 10.1177/0884533614522833
http://localhost/t...ganizacniJednotka
  • 11150
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