benefit ICU patients by reducing infectious complications,
length of hospital stay and even possibly reducing
mortality. Which group of patients might be at significant
risk from early enteral feeding?
1. Cancer patients who underwent surgery of the GIT
2. Patients with increasing vasopressor support
3. TBI patients with intracranial pressure controlled by
hypertonic saline
4. Patients admitted to the hospital with acute on chronic
pancreatitis
,2. Patients with increasing vasopressor support
What is the risk of feeding a patient before hemodynamic
stability has been achieved?
May increase the risk of intestinal ischemia as blood
perfusion of the gut may be compromised in a patient
who is still requiring high doses of vasopressor drugs to
maintain blood pressure
,When should EN be initiated in the hemodynamically
unstable patient?
EN should be delayed until fluid resuscitation is complete
, A patient with acute respiratory distress syndrome (ARDS)
may benefit from a feeding formula containing
supplemental
1. arginine
2. glutamine
3. nucleic acids
4. omega-3 fatty acids
4. omega-3 fatty acids