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Very interesting and thorough list of supplements and vitamins recommended for patients with varying conditions. Also tables with different recommendations for different ages, including babies and the elderly.
Expert advice on nutrition therapy for critically ill patients with new coronavirus pneumonia
Severe Nutrition Management Project Team of Clinical Nutrition Branch of Chinese Nutrition Society
Abstract : The current fight against the new coronavirus epidemic has entered the decisive stage. Nutritional treatment of critically ill patients is a key measure to reduce the mortality. In order to further improve the nutritional treatment effect of critically ill patients, now combined with the clinical experience of anti-epidemic frontline, the nutritional metabolic characteristics of critically ill patients, nutrition screening, nutrition treatment target amount, selection of nutritional schemes and routes, and nutrition monitoring methods To make a summary and recommendations in order to provide a reference for the treatment of critically ill patients
The new crown critically ill patients often significant systemic inflammation of the body in a high catabolic state [ . 1 - . 3 ] . Due to the release of various stress-related hormones and pro-inflammatory cytokines and insufficient oxygen supply, its nutritional metabolic characteristics are mainly manifested as: (1) Decreased energy supply for glucose oxidation, increased glycolysis, enhanced gluconeogenesis, insulin resistance , Increased blood sugar; (2) increased protein breakdown, increased protein synthesis during the acute phase, decreased muscle protein synthesis, and altered amino acid profile: such as a decrease in the concentration of branched chain amino acids (BCAA); (3) increased fat mobilization and breakdown; (4) multiple Increased consumption of vitamins and trace elements. In this case, patients are prone to malnutrition, and the incidence of malnutrition is higher for patients with chronic underlying diseases.
The main cause of malnutrition is the imbalance of the body's energy supply and demand, including: (1) Increased energy consumption. Due to factors such as fever, increased respiratory muscle work, and mechanical ventilation, the energy consumption of the body increases, and the demand for energy also increases. (2) Metabolic disorders. Impaired glucose utilization, increased protein and fat breakdown, and a negative nitrogen balance in the body. (3) Insufficient intake and poor nutrition absorption. Factors such as decreased appetite, difficulty breathing, mechanical ventilation, and unconsciousness after long-term bed rest can lead to inadequate intake of patients. The new coronavirus can directly attack the gastrointestinal tract, diarrhea, nausea, vomiting, etc. caused by drug therapy or intestinal nutrition intolerance Gastrointestinal symptoms or dysfunction can lead to nutritional malabsorption and increased loss [ 4 ] .
If malnutrition occurs in critically ill patients in the new crown, it will not only reduce respiratory muscle function and respiratory muscle weakness, but also aggravate immune dysfunction and make the condition worse. Therefore, reasonable nutrition assessment and support to prevent malnutrition is one of the important treatment measures for critically ill patients in the new crown.
Severe Nutrition Management Project Team of Clinical Nutrition Branch of Chinese Nutrition Society
Abstract : The current fight against the new coronavirus epidemic has entered the decisive stage. Nutritional treatment of critically ill patients is a key measure to reduce the mortality. In order to further improve the nutritional treatment effect of critically ill patients, now combined with the clinical experience of anti-epidemic frontline, the nutritional metabolic characteristics of critically ill patients, nutrition screening, nutrition treatment target amount, selection of nutritional schemes and routes, and nutrition monitoring methods To make a summary and recommendations in order to provide a reference for the treatment of critically ill patients
The new crown critically ill patients often significant systemic inflammation of the body in a high catabolic state [ . 1 - . 3 ] . Due to the release of various stress-related hormones and pro-inflammatory cytokines and insufficient oxygen supply, its nutritional metabolic characteristics are mainly manifested as: (1) Decreased energy supply for glucose oxidation, increased glycolysis, enhanced gluconeogenesis, insulin resistance , Increased blood sugar; (2) increased protein breakdown, increased protein synthesis during the acute phase, decreased muscle protein synthesis, and altered amino acid profile: such as a decrease in the concentration of branched chain amino acids (BCAA); (3) increased fat mobilization and breakdown; (4) multiple Increased consumption of vitamins and trace elements. In this case, patients are prone to malnutrition, and the incidence of malnutrition is higher for patients with chronic underlying diseases.
The main cause of malnutrition is the imbalance of the body's energy supply and demand, including: (1) Increased energy consumption. Due to factors such as fever, increased respiratory muscle work, and mechanical ventilation, the energy consumption of the body increases, and the demand for energy also increases. (2) Metabolic disorders. Impaired glucose utilization, increased protein and fat breakdown, and a negative nitrogen balance in the body. (3) Insufficient intake and poor nutrition absorption. Factors such as decreased appetite, difficulty breathing, mechanical ventilation, and unconsciousness after long-term bed rest can lead to inadequate intake of patients. The new coronavirus can directly attack the gastrointestinal tract, diarrhea, nausea, vomiting, etc. caused by drug therapy or intestinal nutrition intolerance Gastrointestinal symptoms or dysfunction can lead to nutritional malabsorption and increased loss [ 4 ] .
If malnutrition occurs in critically ill patients in the new crown, it will not only reduce respiratory muscle function and respiratory muscle weakness, but also aggravate immune dysfunction and make the condition worse. Therefore, reasonable nutrition assessment and support to prevent malnutrition is one of the important treatment measures for critically ill patients in the new crown.
There is much more information in the article... well worth reading.
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