Explain the Energy Requirements during Sepsis?

Patients suffering from septicemia with or without MODS are generally hyper-metabolic which results in weight loss. Critically ill patients are generally able t: to tolerate around 25-30 Kcals per kg usual body weight. Although adequate energy is essential for metabolically stressed patients excess calories intake may elicit complications such as hyper-glycemia, excess carbon-dioxide production, which can exacerbate respiratory insufficiency or prolong weaning from mechanical ventilator.

Whatever may be the amount of calories given to the patient, our objective should be to maintain blood glucose levels 5 100 mg/dl, if required by the help of insulin. Proper choice of enterall parenteral tube feeds along with insulin infusions is advocated. A combination of two or three types of feed formulas may be required to meet the individualistic requirements of a patient. However, in isolated cases if oral intake is feasible; it is usually in the form of full-fluidbemi-liquid diets (mild sepsis/ MODS).