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🚨📢 #Tweetorial on #ICU nutritional management in #COVID19 – disclaimer this is from my own insights having worked as an ICU #dietitian & working as a #juniordoctor #Hammersmith ICU resources will be tagged at the end - WARNING it’s long - so grab a ☕️ 1/13
Calculating requirements (Energy)
▪️If BMI>25 therefore opt for AIBW/IBW
▪️Many with single organ failure, ventilated & febrile +
▪️Equations to help – PENN STATE & Mifflin St Jeor – factors temp/vent settings OR if in doubt or time limits ASPEN BMI>30 11-14kcal/kg/ABW/day 2/13
▪️If BMI>25 therefore opt for AIBW/IBW
▪️Many with single organ failure, ventilated & febrile +
▪️Equations to help – PENN STATE & Mifflin St Jeor – factors temp/vent settings OR if in doubt or time limits ASPEN BMI>30 11-14kcal/kg/ABW/day 2/13
Calculating requirements (Energy)
▪️We anticipate most pt’s will receive only 70% of feed due to variety of issues (proning, aspiration risk/placement delays)
▪️Don’t despair but prioritise tolerance and build up feed and ⬆️ protein provision 3/13
▪️We anticipate most pt’s will receive only 70% of feed due to variety of issues (proning, aspiration risk/placement delays)
▪️Don’t despair but prioritise tolerance and build up feed and ⬆️ protein provision 3/13
