Problems Encountered With Hyperalimentation in Critically Ill Patients

摘要

An analysis of complications arising from hyperalimentation in 17 septic patients in an ICU is presented. All developed hypophosphatemia. Hyperglycemia necessitated intravenous insulin in 16 patients. Hypoalbuminemia persisted in all patients despite 134 gm of protein a day. Abnormal liver function and azotemia were common. Catheter complications occurred in three of 90 catheter insertions. Mortality in this population was 70percnt;. Guidelines for the use of Dextrostix for monitoring blood glucose levels and a protocol for hyperalimentation in patients with sepsis are suggested.