Nutritional support in the critically injured.
Nutritional support must be an integral part of the management of trauma victims. This article compares the stress response, a maladaptive response, and starvation, an adaptive process, examines the clinical research regarding total parenteral nutrition and total enteral nutrition, provides an evidence-based approach to initiating nutritional support in critically injured patients, and discusses considerations in selecting nutritional formulas.
Fox
Vicki J
VJ
Trinity Mother Frances Health System, 800 East Dawson, Tyler, TX 75701, USA. vjfoxnp@cox-internet.com
Miller
Julie
J
McClung
Meredith
M
D000293:Adolescent; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D005526:Food, Formulated; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods / Q000451:nursing; D009104:Multiple Trauma / Q000150:complications*; D024802:Nurse's Role; D009730:Nursing Assessment; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D018529:Nutritional Support / Q000379:methods / Q000451:nursing; D010348:Patient Care Team; D018579:Patient Selection; D013997:Time Factors