Identify at least 2 of the most pertinent nutrition problems and the corresponding nutrition diagnoses

What will be an ideal response?


Increased energy expenditure: Patient with extensive tissue and inhalation injury resulting in increased metabolic and catabolic state. Patient cannot meet the nutritional demands due to mechanical ventilation and need for consistent intake that is very high in calories and high biological value protein.
Inadequate enteral nutrition infusion: Even with initiation of continuous enteral nutrition patients will have multiple interruptions due to dressing changes, rehab therapy, surgery, and tests/procedures. Due to the hypercatabolic state and high rate of gluconeogenesis, patients will break down lean body mass to fuel the glucose production. An average adult loses about 60-70 g of protein with simple fasting, which is about 240-280 g of lean body mass. With high-metabolic demand states like the burn injury, patients may lose up to 600-1000 g of muscle mass a day.

Nutritional Science

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