TBSA: total body surface area; TENS: toxic epidermal necrolysis syndrome; SJS: Stevens-Johnson syndrome; FT: feeding tube (nasoenteral, nasogastric). * Indirect calorimetry performed every Monday, Wednesday, and Friday. ¶ If patient has emesis/abdominal pain, hold tube feeds and notify physician. Ongoing assessment of nutritional goals. Other nutritional supplementation (eg, protein shakes) may be needed to meet nutritional goals.
Based on:
McClave SA, Martindale RG, Vanek VW, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 2009; 33:277.
Adapted from the University of Utah Burn Center Nutrition Support Protocol.