Nutritional support - Hospitalized patients Support by Nutritional Diet

Nutritional support is recognized as being necessary in many hospitalized patients.

Principles of Nutritional support

Some form of nutritional supplementation is required in those patients who cannot eat, should not eat, will not eat or cannot eat enough. It is usually necessary to provide nutritional support for:

  • all severely malnourished patients on admission to hospital
  • moderately malnourished patients who, because of their physical illness, are not expected to eat for more than 3-5 days
  • normally nourished patients not expected to eat for more than 5 days or eat less than half their intake for more than 8-10 days.

Enteral rather than parenteral nutrition should be used if the gastrointestinal tract is functioning normally.

Also see Nutritional requirements for adults

Diet formulation

A polymeric diet with whole-protein and fat can be used, except in patients with severely impaired gastrointestinal function who may require a predigested (i.e. elemental) diet. In these patients, the nitrogen source is purified low-molecular-weight peptides or amino acid mixtures, with sometimes the fat being given partly as medium-chain triglycerides.

Daily amounts of diet vary between 2 and 2.5 L and the full amount can be started immediately.

Hypercatabolic patients require a high supply of nitrogen (15 g daily) and often will not achieve positive nitrogen balance until the primary injury is resolved.

The success of enteral feeding depends on careful supervision of the patient with monitoring of weight, biochemistry and diet charts.


Share |

Related Articles on Nutrients
Nutrients Guide
  Nutritional support in the hospital patient
  Nutritional support in the home patient
  Nutritional requirements for adults

  Phosphatidyl choline
  L carnitine
  Bee pollen
  Bee propolis
  Royal jelly
  Grape seed extract

Nutrition - Vitamins | Amino Acids | Herbs | Minerals | Nutrients | Supplements | Enzymes
Wellness - Healthy Living | Dental Care | Products | Skin Vitamins | Ayurveda | Slideshow
Health - Deficiency | Alternative Medicines | How To | Symptoms | Food Kitchen How tos?
Fitness - Exercises | Gardening
Food & Cooking - Recipes | Fruits & Vegetables
Healthy Eating & Diet - Diet | Weight Loss | Green Tea | Noni Juice | Acai
Online Vitamins Guide

Nutrition Articles | Your Feedback & Suggestions | Newsletter
Disclaimer | Blog
Home © 2001-2013 All rights reserved.