NUTRITION
Since there is Ileus in most cases there is need to insert a
nasogastric tube and remove the gastric contents and
instiantacids on return of motility.
The NG tube is removed antacids or cimatidin are give orally to prevent ulceration.
There is always an increase in metabolic rate in these patients
and a negative Nitrogen balance lasts for months.
* The normal requirement of proteins is roughly 4 gm/kg in a
child and 1.5 gm./kg in adults. A 50% increase should be
aimed at in a child and 100% in adults in these cases
* In calories a 30% increase is desirable.The intensive
feeding should be started on the third or fourth day.
* Tube feeding may have to be resorted to if the patient does
not feed himself
Nutritional need in the burnt patient can be predicted /
estimated in a 70% burnt patients requires 2000-2200 calories and
12-18 gms of nitrogen per m2of body surface per day.
It is neccessary therefore to provide liquid through nasogastric
tube in which the lower end of the tube is positioned in the
duodenum.
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