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Case Report: Medical Nutrition Therapy for Septic Shock

Case Report: Medical Nutrition Therapy for Septic Shock. ANGELA GASBARRE ARAMARK DIETETIC INTERNSHIP UPPER CHESAPEAKE MEDICAL CENTER JANUARY 4, 2013. Objectives. Disease Description. Evidence-Based Nutrition Recommendations Early vs. Late Initiation of PN.

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Case Report: Medical Nutrition Therapy for Septic Shock

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  1. Case Report: Medical Nutrition Therapy for Septic Shock ANGELA GASBARRE ARAMARK DIETETIC INTERNSHIP UPPER CHESAPEAKE MEDICAL CENTER JANUARY 4, 2013

  2. Objectives

  3. Disease Description

  4. Evidence-Based Nutrition RecommendationsEarly vs. Late Initiation of PN Casaer MP, Mesotten D, Hermans G, et al. Early versus later parenteral nutrition in critically ill adults. N Engl J Med. 2011;365:506-517

  5. Early vs. Late Initiation of PN Casaer MP, Mesotten D, Hermans G, et al. Early versus later parenteral nutrition in critically ill adults. N Engl J Med. 2011;365:506-517

  6. Early vs. Late Initiation of EN in Hemodynamically Instable Patients PARTICIPANTS Khalid I, Pratik D, DiGiovine. Early enteral nutrition and outcomes of critically ill patients treated with vasopressors and mechanical ventilation. Am J Crit Care. 2010;19:261-268

  7. Early vs. Late Initiation of EN in Hemodynamically Instable Patients Khalid I, Pratik D, DiGiovine. Early enteral nutrition and outcomes of critically ill patients treated with vasopressors and mechanical ventilation. Am J Crit Care. 2010;19:261-268

  8. Case Presentation 64 year old male

  9. NCP: Assessment

  10. NCP: Nutrition Diagnosis

  11. NCP: Interventions

  12. NCP: Monitoring and Evaluation

  13. Conclusion

  14. References • Sepsis. A.D.A.M Medical Encyclopedia. PubMed Health. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001687/. Updated August 23, 2012. Accessed December 28, 2012. • Siner, JM. Sepsis: Definitions, Etiology, Epidemiology, and Pathogensis. Chest. 2009; 4. http://www.chestnet.org/accp/pccsu/sepsis-definitions-epidemiology-etiology-and-pathogenesis?page=0,3. Accessed December 23, 2012. • Septic Shock. Medline Plus. http://www.nlm.nih.gov/medlineplus/ency/article/000668.htm. Updated January 14, 2010. Accessed December 28, 2012. • Pinsky MR, Mink S, Sharma S, et al. Septic Shock: Epidemiology. Medscape Reference. http://emedicine.medscape.com/article/168402-overview#a0156. Updated August 13, 2012. Accessed December 28, 2012. • Shock. A.D.A.M Medical Encyclopedia. Pubmed Health. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001106/. Updated January 10, 2012. Accessed December 23, 2012. • Casaer MP, Mesotten D, Hermans G, et al. Early versus later parenteral nutrition in critically ill adults. N Engl J Med. 2011;365:506-517. • Khalid I, Pratik D, DiGiovine. Early enteral nutrition and outcomes of critically ill patients treated with vasopressors and mechanical ventilation. Am J Crit Care. 2010;19:261-268. • McClave SA, Martindale RG, Vanek VW, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patients. J Parenter Enteral Nutr. 2009;33:279-285. • American Dietetic Association. International Dietetics and NutritionTerminology (IDNT) Reference Manual.3rd ed. Chicago, Il: American Dietetic Association; 2011. • Academy of Nutrition and Dietetics: Evidence Analysis Library. Critical Illness Nutrition Practice Guidelines. A.N.D. Evidence Analysis Library website. http://andevidencelibrary.com/template.cfm?key=1309. Accessed 2 Jan 2013. • Pronsky ZM. Food-Medication Interactions, 16th ed. Birchrunville, PA: Food-Medication Interactions; 2010. • ARAMARK Healthcare. Assessment and education policy #2: Nutrition status classification worksheet. Patient Food Services: Policies and Procedures, Volume IV; 2010.

  15. QUESTIONS?

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