Author Question: Which laboratory measurements are consistent with sepsis and metabolic stress? What will be an ... (Read 66 times)

ec501234 · **on:** Aug 21, 2018

Which laboratory measurements are consistent with sepsis and metabolic stress?

What will be an ideal response?

Question 2

The surgeon notes Ms. Watson probably will not resume eating by mouth for at least 3-5 days. Using ASPEN guidelines, what would be your recommendation for nutrition support for Ms. Watson?

What will be an ideal response?

krakiolit · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

Elevated glucose and lactate levels due to metabolic stress; glycogenolysis/gluconeogenesis/lipolysis
Elevated positive acute-phase proteins: CRP, fibrinogen
Diminished negative acute-phase protein: albumin, prealbumin, protein
Electrolyte abnormalities (due to fluid shifts/third spacing): potassium, phosphate
Elevated WBC due to immune response

Answer to Question 2

If Ms. Watson progresses easily to an oral diet she should not require the use of enteral nutrition support. Tolerance and adequacy will need to be monitored as she was admitted with an unintentional weight loss.