Evaluation of Nutritional Needs of Intensive Care Unit Patients by Clinical Pharmacists

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Çakır A., Memiş H., Gün Z. Ü.

Hacettepe University Journal of the Faculty of Pharmacy, vol.44, no.1, pp.29-37, 2024 (Scopus)


Malnutrition in intensive care unit (ICU) patients affects disease progression and

prolongs hospital stays. In this study, it was aimed to present the recommendations

of clinical pharmacists in terms of nutrition in ICU patients.This study

was conducted in the ICU between November 2022 and January 2023. Clinical

pharmacists counseled patients on nutrition according to guidelines. Basal

energy expenditure was calculated using the Harris-Benedict formula, and the

most appropriate nutritional product was selected for the patients. Descriptive

analyses were performed with SPSS v27.0.Total number of patients and recommendations

were 41 and 71, respectively. Hundred percent of the recommendations

were accepted. According to the reasons, the recommendation rates were

categorized as feeding started (9.86%), feeding stopped (1.41%), feeding dose

increased-reduced (28.17%), protein amount increased-reduced (35.21%), management

of nutritional complications (15.49%), and changes in administration

(9.86%). Enema (54.54%) for constipation, prokinetic metoclopramide (36.36%),

and discontinuation of parenteral nutrition due to hyperglycemia (9.09%) were

recommended for the management of nutritional complications. Examples of

suggestions and explanations made regarding the nutritional status of the patients

were given.In this study, recommendations were made for most ICU patients to

eat more calories and protein. Clinical pharmacists can prevent malnutrition with

other healthcare professionals.