Prevent

Nutrition in Wound Healing

search

Nutrition in Wound Healing

  • See Also
  1. Wound
  • Pathophysiology
  1. Malnutrition impedes Wound Healing
    1. Weight loss over 15 to 25% of body weight
    2. Protein depletion
  2. Vitamin Deficiency impedes Wound Healing
    1. Vitamin C Deficiency (Scurvy is a dramatic example)
    2. Vitamin A Deficiency
    3. Zinc Deficiency
  • Precautions
  1. No significant evidence supports Nutritional Supplementation for Pressure Ulcer prevention or management
    1. Langer (2014) Cochrane Database Syst Rev (6):CD003216 +PMID:24919719 [PubMed]
  • Management
  • Assess Adequate Dietary Intake
  1. Adequate Protein intake and calorie intake
  2. Adequate fluid intake
  • Management
  • Perform nutritional assessment every 3 months
  1. Serum Albumin <3.5 grams
  2. Lymphocyte Count <1500
  3. Low Total Cholesterol (<100 suggests Malnutrition)
  4. Diminshed oral intake
  5. Weight change
  • Management
  • Malnourished with continued inadequate intake
  1. Consider Tube Feeding for Positive Nitrogen Balance
  2. Calories: 30-35 kcal/kg/day
  3. Protein: 1.25-1.50 grams/kg/day
  4. Vitamin And Mineral supplementation
  1. Vitamin C 500 mg PO bid
  2. Iron Supplementation
  3. Zinc supplementation