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Malnutrition Following ICU Admission

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Malnutrition Following ICU Admission, Post-ICU Admission Malnutrition

  1. Prolonged ICU admission
  2. Intubation or Tracheostomy (may interfere with swallowing)
  3. Prolonged period of poor oral intake (bowel mucosa atrophy)
  4. Sepsis
  • Management
  1. Nutrition Consultation
  • Complications
  1. Acalculous Cholecystitis
    1. Poor lipid intake results in bile stasis
  2. Muscle wasting
    1. Total body protein loss exceeds 2 pounds for a 3 week ICU admission
    2. Initial (first 10 days): Skeletal muscle is primary source of lost protein
    3. Later (after 10 days): Visceral muscle is lost
    4. Plank (1998) Ann Surg 228(2): 146-58 [PubMed]