Icu presentation

1. Presentation
on
NUTRITIONAL MANAGEMENT OF LONG
STAYING PATIENT ADMITTED IN ICU
Presented by
Sudeshna Paul
M.Sc. 4th semester
Roll-07, Food Science & Nutrition
P.G. Dept. of Food Science Technology and Nutrition,
Sambalpur University,
Jyoti Vihar, Burla, Sambalpur

2. CONTENT
 INTRODUCTION
 OBJECTIVES
 MATERIALS AND METHODS
 RESULTS
 CONCLUSION

3. INTRODUCTION
• Involuntary weight loss resulting from malnutrition is a major
problem among residents in long-term care facilities.
• Malnutrition is a prevalent consequence of hospitalization,
especially in critically ill patients admitted to the intensive care
unit (ICU).
• Malnutrition is very common in critically ill patients, and its
development is a function of the patients’ preexisting nutritional
status and severity of illness (degree of hypermetabolism). The
characteristics of ICU patients have changed during the last
decade.
• Sufficient nutrients are needed for critically ill patients to meet
metabolic needs. There are unlimited challenges in providing
nutrition to the mechanically ventilated critically ill ICU patients.

4. OBJECTIVES
1.Identifying critically ill patients at risk of
malnutrition.
2.Identify the calorie protein requirement of
malnourished patients.
3.To measure the efficacy of required nutrition
within first 3 days of ICU admission
4. Identify the bottlenecks in providing required
nutrition intervention.
5.Suggesting measures needed to minimize them to
achieve optimum patient outcome.

5. MATERIALS AND METHODS

6.  Obj.1- identification of malnourished critically ill patients
by using ASPEAN approved Nutritional Risk Score (NRS
2002) including patients having a score of >_4.
 Obj.2- calculation of calorie protein requirement of the
patients by following ASPEAN guidelines [i.e IBW *25 (for
calorie) & IBW * 1.2 (for protein).
 Obj. 3-To measure the efficacy of required nutrition within
first 3 days of ICU admission.
 Obj. 4-Identify the bottlenecks in providing required
nutrition intervention.
 Obj. 5-Suggesting measures needed to minimize them to
achieve optimum patient outcome.
NUTRITIONAL TOOLS FOR
METHODS

7. INTERPRETATION OF RESULTS

8. Calorie AND Protein Achieved of patients in 72 hours admitted in ICU

9. Calorie deficit of Patients admitted in ICU on DAY-1

10. Calorie deficit of patients admitted in ICU on
DAY- 2

11. Calorie deficit of Patients admitted in ICU
on DAY-3

12. Protein deficit of Patients admitted in ICU
on DAY-1

13. Protein deficit of Patients admitted in ICU on
DAY-2

14. Protein deficit of Patients admitted in ICU
on DAY-3

15. Reason of Nutrient deficiency of
Patients admitted in ICU on DAY-1

16. Reason of Nutrient deficiency of
Patients admitted in ICU on DAY-2

17. Reason of Nutrient deficiency of
Patients admitted in ICU on DAY-3

18. Common supplements for
ICU Patients

19. CONCLUSION
 The study was carried out to find out the requirement of nutrient (protein, fat,
carbohydrate, total energy, sodium and fluid) in ICU patients of AMRI
Hospital, Bhubaneswar.
 The patients were generally recommended for high protein, moderate fat and
high amount of energy.
 As in this condition high protein is required to recover the protein energy
malnutrition. Moderate amount of Fat is required to provide adequate amount
of essential fatty acids.
 Mainly high calorie and high protein diet is needed to control this condition.
 Different types of supplement powder also used to maintain the dietary
requirement like PENTASURE 2.0, ORIPRO 2.0, RESOURCE HIGH
PROTEIN and NEPHRO HP.
 These supplements are good source of protein and poor source of fat, that
inhibit the breakdown the protein in the muscle. Hence therapeutic diet is
most important to control the condition.

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22. THANK YOU