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Surgical Nutritional Support
OVERVIEW ,[object Object],[object Object],[object Object],[object Object],[object Object]
OVERVIEW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Questions ,[object Object],[object Object],[object Object],[object Object]
METABOLIC  ADAPTATIONS IN CATABOLIC STATES AND REGULATION OF  NITROGEN BALANCE
Regulation of Intracellular Protein Synthesis and Degradation
Metabolic Changes in state of starving   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Metabolic changes in stress (trauma, sepsis)   ,[object Object],[object Object],[object Object],[object Object],[object Object]
FUNDAMENTALS OF ARTIFICIAL NUTRITION
General Indications for Nutrition Support and Choice of Route of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Route of Administration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mulnutrtion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutritional Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nitrogen Balance ,[object Object],[object Object]
Plasma proteins <1.6 1.6~1.8 1.8~2.0 2.0~2.5 Transferrin (g/L) <21 21~27 28~34 >35 Albumin (g/L) Severe Moderate Light Malnutrition Normal
Estimation of Energy Needs
Harris-Benedict equation ,[object Object],[object Object],[object Object]
Calories Requirements   ,[object Object],[object Object],[object Object],[object Object]
Nutrients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Protein Requirements  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Calorie-Nitrogen Ratio ,[object Object],[object Object],[object Object]
PRACTICAL APPROACH TO ARTIFICIAL NUTRITION
Enteral Nutrtion ,[object Object],[object Object],[object Object],[object Object]
Indications and Routes of EN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Nutrtion ,[object Object],[object Object],[object Object],[object Object]
Indications of PN ,[object Object],[object Object],[object Object],[object Object],[object Object]
Routes of PN ,[object Object],[object Object],[object Object],[object Object],[object Object]
Formula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Parenteral and Enteral Nutrition ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
Metabolism ,[object Object],[object Object]
Nutritional Assessment ,[object Object],[object Object],[object Object]
Administration of nutrition ,[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object]
[object Object]

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