Abstract：
:Nutrition in acute spinal cord injury is complicated. Not every aspect of nutrition as it relates to the acutely injured spinal cord patient is known. The stress response to injury, fever, infection, sepsis, and surgery alter nutritional needs, as does the spinal cord injury itself. The sequelae of spinal cord injury, including denervation atrophy and paralysis, glucose intolerance, skin and wound breakdown, poikilothermy, anemia, respiratory paralysis, pneumonia, paralytic ileus, gastrointestinal ulcers and hemorrhage, neurogenic bowel and bladder, and depression, all affect the nutritional needs of the patient. Orthopedic appliances, pharmacologic agents, and other injuries can also alter nutritional requirements. Nutritional assessment in acute spinal cord injury is also complex. It should include medical and diet history, physical examination, intake and output measurements, prediction of energy expenditure and protein requirements, or--even better--measurements of energy expenditure with indirect methodology, using the metabolic cart or pulmonary artery catheter. Application of computerized tomography and radioisotope studies may prove valuable in the future. Finally, the direct relationship between nutrition and physiologic alterations of acute spinal cord injury necessitates that the critical care nurse incorporate nutrition-focused thinking into many aspects of the acute spinal cord--injured patient's care.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Blissitt PAsubject
Has Abstractpub_date
1990-09-01 00:00:00pages
375-84issue
3eissn
0899-5885issn
1558-3481journal_volume
2pub_type
杂志文章abstract：:A mixed methods study using family research with a phenomenological approach (n = 5 families) was conducted to explore family members' perceptions about the extensive monitoring technology used on their critically ill family member after cardiac surgery, as experienced when family members initially visited the patient...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2014.04.004
更新日期：2014-09-01 00:00:00
abstract：:Septic shock is the leading cause of death in critical care units. New research in the management of septic shock is focused on the use of immune-based therapy such as antiendotoxin monoclonal antibodies. The object of this therapy is to neutralize endotoxin and prevent the progression of the pathophysiologic events o...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2006.01.003
更新日期：2006-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1996-12-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.12.003
更新日期：2012-03-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.04.004
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2013.02.001
更新日期：2013-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2019.04.003
更新日期：2019-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/j.ccell.2005.01.005
更新日期：2005-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1990-12-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1997-12-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1991-03-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/j.ccell.2010.09.004
更新日期：2010-12-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2006.01.002
更新日期：2006-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/s0899-5885(01)00004-1
更新日期：2002-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1998-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1989-06-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2017.04.012
更新日期：2017-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/s0899-5885(02)00072-2
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/j.ccell.2007.10.009
更新日期：2008-03-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1996-03-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2005.10.004
更新日期：2006-03-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/s0899-5885(02)00012-6
更新日期：2002-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2010.04.002
更新日期：2010-09-01 00:00:00
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journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.08.002
更新日期：2011-09-01 00:00:00
