What are the standard recommendations for monitoring the nutritional status of a patient receiving nutrition support?
What will be an ideal response?
When a patient is receiving nutrition support, it is important to monitor: physical assessment (signs of fluid and nutrient excess or deficiency), functional status (mobility, sedation), vital signs, actual nutrient intake (oral, enteral, and parenteral) in comparison to nutrition prescription, weight and weight changes, pertinent labs (blood glucose, triglycerides, inflammatory markers, BUN, liver function enzymes, electrolytes), medications administered (propofol, SSI), and changes in gastrointestinal function (bowel sounds, I/O, stool output). Additionally, the RD should ensure that the head of bed is at a 30o-45o angle (for EN) and tube patency is maintained.
Monitor wound healing and the progress of his open abdominal wound closure. This can confirm (or not) the adequacy of the patient's nutrient intake. Nitrogen balance can be helpful to measure the adequacy of nutrient intake as well, even though this can be altered with the abdominal wounds and metabolic stress.
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