Basic information regarding the topic mentioned will be helpful for med students, nrusing staff especially those who are working in Intensive care setup to understand the ABC of the importance of nutrition, hydration and hygiene

1. Nutritional Support, Fluid and
Electrolyte imbalance, Infection
control in Peds ICU
Dr Syed Zohaib Hussain
PGT of Pediatrics
Shifa International Hospital

2. Nutritional Support in Children
admitted in Intensive Care unit

5. Why nutrition is poor in critically sick
kids????????

7. Poor nutrition may lead to
• Muscle atrophy and weakness
• Decreased wound healing
• Increased difficulty of weaning from
ventilation
• Reduced immune function
• Atrophy of the gut mucosa

8. Overall goals

9. Routes
• Enteral
• Parenteral

19. Infection Control

21. Contributing factors for development
of Infection in ICUs
• Poor Hand Hygiene of Medical staff/Attendant
• Improper use of PPEs
• Older Age
• Patients with major Trauma/shock
• Prolonged Stay in ICU (>3 days)
• Mechanical Ventilation
• Dwelling catheters
• Malnourished and immunocompromised
patients

22. Prevention of infection in ICUs
• Hand Hygiene
• Use of Sterile gloves and gown where needed
(sterile gown is only required in aseptic
procedures)
• Proper Handling of patient-care equipments
• Prevention of Ventilation associated
pneumonias(VAP)

23. • Prevention of Urinary tract infection
• Prevention of Central venous catheter
associated infections
• Prevention of Surgical site infection

24. Fluid and Electrolyte imbalance

25. Electrolytes in human body???

28. Types of dehydration

32. Fluid is required for??
• Replacement of insensible losses
• Continuation of essential urine output
• Extra fluid for a modest state of diuresis
• Replace abnormal losses

33. How to treat dehydration???
• Treat the cause
• Fluids Per Oral/NGT/Intravenous
• Hypernatremia should not corrected rapidly
• Choice of fluid depend upon the type of
dehydration