Module 22- Critical Care

- Know the different phases of metabolic stress response and the signs, symptoms, characteristics and effect on nutritional needs/status of each.

- Understand the physiologic responses to stress (i.e., effect on blood glucose, energy expenditure)

- Know the indications and contraindications to enteral and parenteral nutrition during metabolic stress

- Be able to estimate energy needs in patients with burns, sepsis, and other metabolically stressed states.

Nutrition therapy in critical illness has advanced and it is recognized that critical illness results in shifts in metabolism that last weeks after the acute phase of illness. The RD is responsible for critically assessing each patient's nutritional needs, recommending nutrition intervention and conducting follow up and monitoring as the patients changing medical status alters their nutritional needs.

MNT Metabolic Stress, Sepsis, Trauma, Burns & Surgery (PowerPoint)

Mini Case Studies (In-Class)

Article Review Activity Instructions & Example (In-Class)

See Laulima Assignments, Tests, and Surveys for all graded work and assessments.

1) Course google website

2) Krause Textbook

3) Parent B, et al, 2018. Biochemical markers of nutrition support in critically ill trauma victims. JPEN, 42 (2).

4) Rousseau AF, et al, 2013. ESPEN endorsed recommendations: nutrition therapy in major burns. Clin Nutr 32.

5) Yeh DD, et al 2018. Early protein inadequacy is associated with longer intensive care unit stay and fewer ventilator-free days: a retrospective analysis of patients with prolonged surgical intensive care unit stay. JPEN 42 (1).

6) Lee JC et al 2018. Multitargeted feeding strategies improve nutrition outcome and are associated with reduced pneumonia in a level 1 trauma intensive care unit. JPEN 42 (3).