Malnutrition in the form of insufficient nutrient intake to support tissue metabolism undermines appropriate medical or surgical therapeutic management of a case. The major consequences of malnutrition in all patients are decreased immunocompetence, decreased tissue synthesis and repair, and altered intermediary drug metabolism. A practical goal is to begin nutritional support within 24 hours of the injury, illness, or presentation. There are only two methods by which nutrients can be supplied to the body: enteral and parenteral. General guidelines are presented to help establish a foundation.
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| http://dx.doi.org/10.1016/s0195-5616(02)00050-5 | DOI Listing |
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