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Expert Pearls

Critical Illness - Fish oil

Fish oil 0.1 – 0.25 g/kg/d. (Commercially available fish oil-based lipid emulsions have about 4 g of n-3 fatty acids per 10 g of lipids supplied. For a patient of 70 kg and at an infused dose of 0.15 g/kg/d this would result in the provision of about 4 g of n-3 fatty acids per day). [Curr Opin Clin Nutr Metab Care, 2006 Mar;9(2):140-8. 44774 (11/2006)] Summary

Critical Illness - Glutamine

Glutamine 20-30 gm/d P.O. or I.V.. [J Nutr, 2001:2569S-2577S. 38827 (2003)] Summary

Critical Illness - Glutamine - 2

Glutamine, a non-essential amino acid, under stress helps maintain gut barrier function, which prevents bacterial translocation and possible multi-organ system failure. [Nutrition, September/October 1994;10(5): 385-391. 21498 (1995)] Summary

Critical Illness - N-acetylcysteine

N-acetylcysteine 150 mg/kg and then 15 mg/kg/hr from a continuous I.V. infusion inhibited the adverse effects of E. coli endotoxin on renal function. [Crit Care Med, 2007; 35(8):1869-75. 46020 (7/2008)] Summary

Critical Illness - Pyridoxyl 5' phosphate

Pyridoxyl 5' phosphate - plasma PLP concentration significantly and inversely correlated with white blood cell count and neutrophil cell numbers; significantly and positively correlated with total lymphocyte count and T-lymphocyte, B-lymphocyte, T-helper, and suppressor cell numbers. [Nutrition, 2005 Jul-Aug;21(7-8):779-85. 43917 (11/2005)] Summary

Critical Illness - Vitamin B6

Vitamin B6 50-100 mg I.M. /d enhanced immune function. [Eur J Clin Nutr, 2006 Oct;60(10):1207-13. Epub 2006 May 3. 45422 (2/2007)] Summary

Critical Illness - Vitamin B6 - 2

Vitamin B6 50-100 mg/d P.O. or IM (critical care patients). [Nutrition, 2005 Jul-Aug;21(7-8):779-85. 43917 (11/2005)] Summary

Critical Illness - Vitamin C

Vitamin C in plasma is low. [Am J Clin Nutr, 1996;63:760-5. 25482 (1996)] Summary
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