Nutrition Tips For Burn Patients – By Dr Pandula Siribaddana – Helium

When a person suffers a burn, it will damage the skin to various degrees and at times it can extend up to deeper tissues as well. The type of burn, site of burn as well as the level of exposure will determine the outcome of a burns victim and in most instances, the extent of the burn which is described as a percentage from the total body surface area, will be the fact that decides the management plan. What changes takes place after a burn? When the skin and the surface tissues covering the body are subjected to damage, the tissues and the blood vessels underneath will get exposed to the outside environment and many changes will take place within the body system. Among them, secretion of catabolic hormones which will break down the protein containing tissues such as the muscles to supply adequate amounts of protein for tissue repair as well as the loss of fluids from the exposed surface area would be major determinants of the patients outcome. If these processes are allowed to progress, the lean muscle mass would be reduced as well as the patient would become dehydrated. It would lead to the development of sepsis as well as delayed wound healing which makes the patients to have a prolonged hospital stay. How to manipulate nutrition to reduce complications related to burns? Thus, replenishing the burns patients requirements for proteins, fluids as well as energy would facilitate better healing and therefore reduces burns related complications as well. Let us now see, how nutrition can be utilized in order to give the optimal care for these patients. -Burn patients would have to be started on feeds as early as possible. This can be through oral feeds or else in most extensive burns, through nasogastric feeding. But, it is recommended to give duodenal feeds instead of gastric feeds as the tolerance level would be less in the latter method. At the same time, giving total parenteral nutrition would be not as effective as the intestinal feeds since it does not reduce the catabolic state and could overwork the liver which could already be compromised to a certain extent. -When it comes to energy demand, a burns patient would require at least 20 cal per Kilogram body weight in addition to about 40 cal more for each burns percentage. For children, the amount would be at least 1800 cal plus 2200 cal per millimeter of burns area. It should also be remembered that, when the burnt surface area increase, the requirement for calories will also go up and would require additional amounts apart from the values derived through above formulas. -High caloric low fat diet would be the recommendation for these patients as it can prevent the loss of lean body mass as the body tries to make use of muscle proteins for deriving energy requirements. -High protein diets should be continued throughout the recovery phase as well as for a certain time period following complete recovery. These can be done through increasing protein content in the normal diet or else through adding protein supplements as well. -Increasing the amount of fluids that is been taken is also a must to replenish the fluid loss from the exposed area and in order to maintain the metabolic activities. Learn more about this author, Dr Pandula Siribaddana . Click here to send this author comments or questions. Below are the top articles rated and ranked by Helium members on: Nutrition tips for burn patients

1. Vitamin C – Cherries supply large amounts of Vitamin C . Vitamin C, also called ascorbic acid, is a water soluble vitamin that must be consumed daily since the body cannot store it. The Vitamin C found in a cherry is neccessary for the proper maintainence of soft tissue such as your gums and the lining of your mouth and digestive system. A deficiency of Vitamin C and lead to Scurvy. Vitamin C is also a vital antioxidant that your body uses extensively to promote proper cell division and prevent cancers. The vitamin C in cherries have also been shown to reduce the buildup of plaque inside arteries that lead to cardiovascular disease. 2. Potassium – Cherries contain potassium, which is a mineral that is necessary for proper muscle contraction. Potassium from cherries are also vital for the regulation of water inside the veins and arteries of our cardiovascular system. Potassium acts against the negative effects of sodium and helps to lower blood pressure , preventing strokes and heart attacks. 3. Magnesium – Magnesium is found in cherries, along with most other fruit. Magnesium is a major part of bone development and muscle growth. Magnesium is also a vital part of the mechanisms we use to get energy from carbohydrates. 4. Dietary fiber – Dietary fiber found in cherries is important for the longterm health of the digestive tract, as well as being useful in reducing the chances of developing diabetes. Dietary fiber is not digested by the body, but instead it is used by the body to clean out the small intestines which allows for better nutrient absorption. Dietary fiber is also necessary to spread out the absorption rate of many nutrients, sugars and proteins. This allows the body to use these nutrients over a longer period of time. 5. Anthocyanin – Anthocyanin is a bright red pigment found in a few fruits, among them the cherry. Its antioxidant functions in the body include reducing the inflammation that leads to gout and arthritis as well as many types of cancer. Anthocyanin has also been found to strengthen collagen, which is found in ligaments and tendons and is a vital part of wound recovery. The cherry should be included in any healthy diet, as it has no negative effects and supplies a large number of vitamins and minerals along with the special addition of Anthocyanin which is found in only a few fruits. Learn more about this author, Paul Simms . Click here to send this author comments or questions. Below are the top articles rated and ranked by Helium members on: Cherries as part of a healthy diet


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