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Systemic inflammatory response syndrome, sepsis, and nutritional support
Critical Care Nursing Clinics of North America
|June 1, 1994
Summary
This review covers metabolic changes in systemic inflammatory response syndrome (SIRS) and sepsis, focusing on nutritional management. Critical care nurses can use presented parameters to assess and meet the nutritional needs of hypermetabolic septic patients.
Area of Science:
- Critical care medicine
- Clinical nutrition
- Metabolic disorders
Background:
- Systemic inflammatory response syndrome (SIRS) and sepsis induce significant metabolic alterations.
- Nutritional support is crucial for managing hypermetabolic septic patients.
- Understanding these metabolic changes is vital for effective patient care.
Purpose of the Study:
- To review metabolic alterations in SIRS and sepsis.
- To outline nutritional management strategies for these patients.
- To provide practical assessment tools for critical care nurses.
Main Methods:
- Literature review of metabolic alterations in SIRS and sepsis.
- Discussion of nutritional assessment parameters for critical care nurses.
- Analysis of enteral and parenteral nutrition delivery.
- Review of disease-specific nutritional formulas.
Main Results:
- SIRS and sepsis lead to hypermetabolism.
- Clinical assessment parameters aid in determining patient needs.
- Both enteral and parenteral nutrition routes are viable.
- Specialized formulas can optimize nutritional support.
Conclusions:
- Adequate nutritional support is essential for hypermetabolic septic patients.
- Nurses play a key role in assessing and managing nutritional needs.
- Tailored nutritional strategies improve patient outcomes.