chapter  8
Nutritional and metabolic care
BySimon Allison & Dileep Lobo
Pages 12

The heterogeneity of the patient population passing through

intensive care units makes it impossible to give a universal

prescription for nutritional and metabolic care that covers

all situations, from the transient problem of status asthmati-

cus to the more prolonged and varied problems encountered

by patients with major trauma and sepsis. Nutritional and

metabolic care must also be considered in relation to other

aspects of management, as there are close interactions

between these, e.g. between metabolism and respiration,

between fluid and electrolyte balance and gastrointestinal

function, and between protein metabolism and immobility.