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Define Protein Requirements during Sepsis?
Adequate amount of protein is required by these patients to improve immunity against infections, promote recovery, spare lean body mass and reduce the amount of endogenous protein catabolism for glyconeogenesis. The requirements may vary from 0.8 gm to 2.0 gm per kg usual body weight per day. During mild sepsis with adequate organ function, the protein intake can be maintained at 0.8 gm/kg usual body weight per day. Intact protein or protein rich foods can he included in the form of enteral tube feeds or as liquid or semi-soft diets. However, the patient is having complications particularly of liver or kidneys, it is advisable to give specific amino-acids according to the underlying disease condition.
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The dietary principles underlying the enteric diet include: High calorie High protein High carbohydrate Moderate fat High fluid Low fibre and soft diet
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