Akademik Veri Yönetim Sistemi
Hacettepe University Journal of the Faculty of Pharmacy, cilt.44, sa.1, ss.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.