在接受非侵入性呼吸辅助形式的住院成年人中的营养实践:范围审查
Kaitlyn Page1, Elizabeth Viner Smith2,3, Lee-Anne S Chapple2,3
1College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
概括
非侵入性呼吸支持对营养管理提出了挑战. 口服营养是常见的,但往往不够的,强调了需要在这个领域进行进一步的研究.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 越来越多地使用非侵入性呼吸辅助,包括非侵入性通风 (NIV) 和高流量鼻.
- 对于接受非侵入性呼吸器支持的患者,营养支持存在独特的障碍.
- 关于这些患者的营养管理数据有限,特别是在重症监护室 (ICU).
研究的目的:
- 对在医院环境中接受非侵入性呼吸辅助的成年患者营养管理现有文献进行范围审查.
- 确定知识上的差距,并为ICU中的临床实践提供信息.
主要方法:
- 对MEDLINE,EmCare和CINAHL数据库的范围审查 (2022年8月18日搜索).
- 包括关于接受非侵入性呼吸辅助的成年患者的原始出版物,以及营养管理数据.
- 提取关于研究设计,人口,呼吸支持和营养参数 (查,评估,分娩,摄入,人体测量) 的数据.
主要成果:
- 包含了11项研究,主要是对NIV的小规模,单中心观察性试验.
- 营养评估和营养途径缺乏共识.
- 口服营养频繁,但由于食欲不佳,疲劳和认知问题等障碍,往往不足.
结论:
- 对于接受非侵入性呼吸辅助治疗的患者的最佳营养评估和输送途径缺乏共识.
- 口服营养经常被使用,但往往无法满足热量和蛋白质需求.
- 未来的研究应该集中在营养障碍及其对这一群体结果的影响上.
更多相关视频
04:56Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
Published on: July 14, 2023
2.9K
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
2.8K
相关概念视频
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:23Mechanical Ventilation III: Noninvasive Ventilation
146
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
146
01:30Pneumonia V: Nursing management and Prevention
2.1K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.1K
01:29Acute Respiratory Failure-V
144
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
144
01:28Pneumonia IV: Management
350
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
350
01:30Administering Oxygen by Mask
402
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
402