Multiprofessional Critical Care Review: Adult (2023)-Section 1 Handouts

Section 1 Handouts

Pdf Summary

The document discusses the treatment and management of neurogenic shock, emphasizing the importance of maintaining oxygenation, fluid resuscitation, and vasoconstrictor support. It also suggests the use of inotropic support and atropine for severe bradycardia, while the use of corticosteroids is not routine.<br /><br />Another topic covered in the document is the significance of gut health and nutrition support in critically ill patients. It recommends early enteral nutrition over parenteral nutrition, with the timing, route, and type of nutrition therapy varying based on the patient's condition. Malnourished patients are at higher risk of complications and mortality, so adequate nutrition support is crucial. Additionally, the document highlights the importance of assessing nutrition risks and providing aggressive calorie and protein provision for high-risk patients. It also discusses the concerns of refeeding syndrome in malnourished patients and the need for slower advancement of enteral nutrition in hemodynamically unstable patients. Meeting protein needs and considering parenteral nutrition in patients with shock are also mentioned. Finally, the document emphasizes the need for regular evaluation and adjustment of the nutrition regimen based on the patient's progress and changing needs.

Keywords

neurogenic shock

treatment

oxygenation

fluid resuscitation

vasoconstrictor support

enteral nutrition

parenteral nutrition

malnourished patients

complications

nutrition regimen

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