Monday, May 25, 2015

Supplementation for Burn Patients

  • give extra feeds high in calories and proteins
  • supplement with Vitamins A and C, Iron and Zinc
  • use aggressive nutritional treatment for burns > 20% TBSA. in this group  preferably start naso-enteric feeds 24 hours post burn
  • give extra feeds twice daily in burns up to 20%; increase the frequency when TBSA is > 20%
  • preferably feed by mouth, if this is not possible feed by the smallest possible nasogastric tube
  • weigh patients at least once a week
Vitamins for Adult patients:


Vitamins for Paediatric patients:
  • Multivitamins
  • Iron supplement 2mg/kg elemental iron / day (some suggest up to 2.5mg/kg)
  • Ascorbic Acid <2 years 250mg daily , >2 years 500mg daily
  • Zinc  1mg/kg/day (of elemental zinc) in 1-3 divided doses
References:
  1. Women’s and Children’s Hospital – Guidelines for the Management of Paediatric Burns. May 2010
  2. Clinical Practice Guidelines Nutrition Burn Patient Management. NSW Statewide Burn Injury Service

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