Explain Urine Urea Nitrogen - Nutrition during Stress?

< 5 gm/24 hrs. = No stress

5 to 10 gm/24 hr = mild hyper-metabolism or level 1 stress

10 to 15 gml24 hrs = moderate hyper-metabolism or level 2 stress

< 15 gm/24 hrs = severe hyper-metabolism or level 3 stress

Meeting the nutritional requirements of such patients can be a challenging issue as they suffer from not one but several metabolic1 pliysiological abnormalities. For , example, a diabetic patient may be suffering from urinary lract infection and end- stage renal disease wherein; the dietary management of one may be contradictory for the other form of illness.

Further, these patients may be on life-support system (such as ventilator, catheters, dialysis) and oral intake may not be feasible. Multiple abnormalities may appear in the metabolism of energy, protein, carbohydrates, fat and several vitamins/minerals. While meeting the nutrient requirements may not be always feasible; our endeavour should be to help the patient in maintaining a good nutritional status and prevent the progression of the disease. It is important to remember here that the nutritional care process undergoes several modifications over a small period of time and may require immediate implementation.