Supportive Care Considerations and Nutrition Support for Critically Ill Cancer Patients
Protein-calorie malnutrition is frequently observed in elderly cancer patients admitted to the intensive care unit (ICU). The use of nutrition support in these patients is dictated through nutritional assessment and utilization of an available feeding access device, whether enteral or parenteral. Provision of hypocaloric regimens less than 20 kcal/kg/day with at least 1.2 g protein/kg/day is recommended in the 1st week of ICU care. Complications observed in the ICU cancer patient receiving nutrition support are primarily related to their underlying degree of malnutrition and comorbidities. The identification and management of hyperglycemia, electrolyte abnormalities, and vitamin deficiencies associated with refeeding syndrome in this ICU cancer population is of utmost importance.
KeywordsMalnutrition Enteral nutrition Parenteral nutrition Refeeding syndrome Vomiting Diarrhea Constipation Aspiration Hyperglycemia
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