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Course Detail

Course Name Critical Care Nutrition
Course Code 24CNF503
Program M. Sc. Clinical Nutrition and Dietetics
Semester III
Credits 4
Campus Kochi

Description

      1. Nutritional screening and nutritional status assessment of the critically ill. Nutritional support systems and other life-saving measures for the critically ill.
      2. Nutritional Support-Introduction, Meeting the nutritional needs, Oral feeding and oral nutritional supplements. Enteral and parenteral nutrition support.Rationale and Criteria for Appropriate Nutrition Support
      3. Enteral Nutrition-Indications and contraindications, Enteral access, Enteral formula composition, Tube feeding delivery systems, Tube feeding administration methods, Complications and monitoring
      4. Parenteral Nutrition
        i. Patient selection, ii. Parenteral access, iii. Parenteral nutrition solutions, iv.Physical characteristics of parenteral formulas ,v. Commercially available protein sources, vi. Commercially available fat sources, vii. Methods of administration, viii. Complications and monitoring, ix.Refeeding syndrome
      5. Transitional Feeding
        i. Parenteral to enteral feeding, ii. Parenteral to oral feeding, iii. Enteral to oral feeding, iv.Oral supplements
      6. Role of immuno enhancers, conditionally essential nutrients, immune suppressants, and special diets in critical care.
      7. Patho- physiological, clinical and metabolic aspects, understanding of the special nutritional requirements, nutritional goals and monitoring the therapy in critical illnesses like – Stress, trauma, sepsis, burns. CV complications and surgery. ESRD, dialysis, transplant. Multiple organ failure. Cancer, AIDS, GI tract surgery, GER (Gastro-esophageal reflux) and complications, Hepatic failure and transplants, Neurosurgery
      8. Complications of Nutritional Support Systems including Refeeding Syndrome
      9. Rehabilitations diets – stages.
      10. Diet related ethical issues in the terminally ill.

Reference Books

  1. Gottschlisch M – “The science and practice of nutrition support”
  2. Laura E Mataresse – “Contemporary Nutrition Practice” 2003, 2nd edition Saunders Publications
  3. Rombeau JL Caldwell DM, “Text book of Enteral and Parenteral Nutrition”
  4. Rombeau JL Caldwell DM, “Clinical Nutrition Enteral and Tube Feeding” 2nd ed WBSaunders 1990.

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