ards
severe lung disease -inflammation of lung parenchyma -incr pulmo capillary permeability> impaired gas exchange -pulmo edema -fall in O2 -hypercapnia> acidosis -labored breathing -incr HR
enteral nutrition for ards
-intestinal feedings preferred> less aspiratn
high fat low carb formulas
formula for fluid restriction
calorie dense EN (1.5-2 cal/mL)
–more nutrition less vol
omega 3 + antioxidant vitamins
unclear if it improves O2, long term survival, other benefits
cal intake
25-30 cal/kg1.5-2 g/kg