What patient is most at risk for severe protein malnutrition?

Question

Quizplus · Accepted Answer

A burn is an extreme stressor that results in significant hypermetabolism.The energy needs of a burn patient increase 50% to 100% from the basal metabolic requirement.Burn wounds increase the negative nitrogen balance and burns leak soluble proteins from the wound.The postoperative energy requirement can increase from 10% to 35% above BMR.A combination of increased need with decreased intake can have a major impact on wound healing.The metabolic response to fever is both anabolic and catabolic,which greatly increases nutrient requirements.An effect of immobilization is nitrogen loss as tissue mass is decreased from diffuse atrophy.

What Patient Is Most at Risk for Severe Protein Malnutrition