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Nutritional requirements in the burn patients 

Nutritional requirements in the burn patients
Chapter:
Nutritional requirements in the burn patients
Author(s):

Christopher F. Munson

, Nigel Tapiwa Mabvuure

, and Baljit Dheansa

DOI:
10.1093/med/9780199699537.003.0037
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date: 29 September 2020

Burns are associated with significant changes to the metabolic rates of affected patients, raising calorific requirements by up to 200%. Energy requirements can be calculated using several different equations depending on patient group. The majority of administered nutrients should be supplied as simple carbohydrates with judicious supplementation with lipids. Protein replacement is key due to the negative balance resulting from proteolysis. Consideration should also be given to vitamin and trace element supplementation with evidence supporting zinc, selenium, copper and select vitamin replacement. Any replacement or supplementation programme requires regular monitoring in order to avoid over or under feeding.

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