A 28 year old is admitted to t

A 28 year old is admitted to the hospital following a caraccident in which several bones were broken and third-degree burns(15% body surface area[BSA]) were suffered. The patient is able toconsume solid foods but is frequently out of the hospital room fordiagnostic tests or therapy when the food trays arrive. The effecton the patient’s nutritional status would be:

minimal during the first few weeks of recovery

rapid depletion of body fat stores

none; the patient should be receiving total parenteral nutritionbecause of the injuries

likely inadequate food intake, which could delay wound healingand compromise the patient’s prognosis


Option d.is correct for the above mentioned case ie. Likelyinadequate food intake, which could delay wound healing andcompromise the patients prognosis because.

  • After an injury hypermetabolism accelerated catabolism andexcessive nitrogen loss continue for at least 2 weeks. It variesfrom patient to patient and can be affected by infection or sepsisin case of burns or multiple fractures.
  • Trauma due to an accident, thermal burns, infection, sepsiselicit a hypermetabolic response. The more severe is the trauma,the more intense is the metabolic response.
  • Increased protein catabolism is met by breakdown of muscleproteins resulting in weight loss.
  • Stimulated protein breakdown is associated with a change insynthesis rate in the body mass and this results in a negativenitrogen balance indicating loss of proteins derived from muscleand viscera which may be improved by enteral feeding.
  • The key factor in nutritional care are maintenance of energy,fluid and electrolyte balance and adequate nutrient and proteinintake to promote wound healing.

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