18 - Burns

Question 1

extensive inflammatory response causes…

Answer 1

• rapid fluid shifts

- large losses of fluid, electrolyte, protein, + nutrients fr wounds

Question 2

for burns covering less than 20% of total body surface area…

Answer 2

oral high protein + cal diet (sml frequent nutrient dense meals + supplements)

-if intake is less than 75% for more than 3 days, then EN is indicated

Question 3

to incr protein, use ___ instead of sour cream

Answer 3

yogurt

Question 4

ways to incr cal

Answer 4

• cream cheese
• butter +oilve oil
• gravy
• mayo instead of salad dressing
• whipped cream
• honey
• marshmallows

Question 5

if EN is inidcatesm

Answer 5

• initiate w/in 4-6 hrs of injury

- place nasoenteric tube in small bowel to facilitate early EN

Question 6

initiate EN w/in 4-6 hrs of injury bc

Answer 6

• assoc w improved structure + function of GI tract
• fewer eps of infection
• blunt hypermetab response

Question 7

does caloric needs decr w wound closure?

Answer 7

NO, hypermetab may last for yers after injury

Question 8

protein intake

Answer 8

1.5-2 g/kg which is 2-2.5 times above RDA for healthy ppl

Question 9

cal intake

Answer 9

25-30 cal/kg

Question 10

high cal high protein diet is recommended for how long after discharge?

Answer 10

1 yr

Question 11

discharge teaching

Answer 11

• high cal high protein for 1 yr
• strength training
• regular weighing