n CME : Your SA Journal of CPD - Nutritional management of the burn patient



Burn injury, the most severe type of injury from a metabolic point of view, is characterised by the most profound alterations in basal metabolic rate and urinary nitrogen excretion. When the burn injury exceeds 15 - 20% total body surface area (TBSA) it results in systemic disturbances including a major stress response, impaired immunity and massive fluid shifts. The severe muscle wasting due to accelerated proteolysis results in muscle weakness that predisposes the patient to pneumonia by limiting his or her ability to cough and clear secretions.


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