Enteral total nutrition treatment for critically ill patients

I. Harm caused by malnutrition

(1) Impaired immune function;

(2) Ventilation damage;

(3) Respiratory muscle weakness;

(4) Prolonged ventilation dependence;

(5) Incidence and mortality have increased.

Significance of nutritional treatment for ICU patients

(1) Promote wound healing;

(2) Reduce the catabolic response of injury;

(3) Improve the structure of the digestive tract;

(4) Improve clinical results and shorten hospital stay;

(5) Reduce the complication rate and related expenses.

Effect of enteral nutrition (0NS) on length of hospital stay

3. The purpose of nutritional support for critically ill patients

(1) Supply energy and nutrient substrates required for cell metabolism;

(2) Maintain the structure and function of tissues and organs;

(3) Regulation of metabolic disorders and immune function;

(4) Enhance the body's resistance to disease, thereby affecting the development and outcome of the disease;

(5) Reduce the decomposition and increase synthesis of net protein in patients;

(6) To improve the potential and occurrence of malnutrition and prevent its complications.

4. Total enteral nutrition treatment for severe patients

(1) Severe patients often have metabolic disorders and malnutrition, and need to provide nutritional support; nutritional support for critically ill patients should be sufficient to take into account the tolerance of damaged organs;

(2) When critically ill patients need nutritional support, enteral nutrition is preferred;

(3) Compared with parenteral nutrition, although enteral nutrition support can not reduce the mortality of critically ill patients and has no significant effect on the length of hospitalization or mechanical ventilation of critically ill patients, it can significantly reduce the infection rate of critically ill patients. Support costs are lower than parenteral nutrition support;

(4) Compared with advanced enteral nutrition support, early enteral nutrition support can improve the prognosis of critically ill patients;

(5) Critical patients begin early enteral nutrition when they enter the ICU 24-48 hours;

(6) Early enteral nutrition support can improve nutrition intake, reduce the mortality of critically ill patients, and significantly reduce the incidence of infection.

5.Selection principles of common nutritional preparations

As long as the patient's gastrointestinal tract is functional, enteral enteral nutrition therapy should be carried out as soon as possible

In fact, you can take special medicine before you get sick.

Waiting for illness and hospitalization before taking special medical food-a little late

Wait until inpatient malnutrition before taking special medical food-too late

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