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Abstract

The moisture contents of foods, fluids, and parenteral solutions taken in and of all samples excreted, the water of oxidation of fuel mixtures burned, and the evaporative water loss must be determined in order to obtain a quantitative picture of water balance. Because there is a tendency to retain water after trauma, surgery, or an acute illness, changes in the water compartment of the body may lead to changes in body weight that may be considered erroneously as changes in energy or protein stores. Measurement of water balance, in addition to calorie and nitrogen balance is one of the most accurate means of accounting for these changes in body composition. Fluid and electrolyte therapy and nutritional supplementation can be tailored to meet the patient's specific needs by utilizing this information. Application of these principles to the care of hospitalized patients outside of the research setting will be discussed.

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References

1. Kinney JM , Long CL , Gump FE et al: Tissue composition of weight loss. Ann. Surg. 168:459–473, 1968.

2. Gump FE , Kinney JM , Long CL et al: Measurement of water balance: A guide to surgical care. Surgery 64:154–164, 1968.

3. Bevan DR : Perioperative care—intraoperative fluid balance. Brit. J. Hosp. Med. 19:445–453, 1978.

4. Long CL : Energy balance and carbohydrate metabolism in infection and sepsis. Amer. J. Clin. Nutr. 30:1301–1310, 1977.

5. de St Jeor ST , Bryan GT : Clinical research diets: Definitions of terms. J. Amer. Diet. Assoc. 62:47–51, 1973.

6. Sampson AG et al: Dietary techniques for metabolic balance studies. J. Amer. Diet. Assoc. 28:912–916, 1975.

7. Watt BK, Merrill AL: Composition of foods—raw, processed and prepared. US Dept. Agric. Handbook #8, Rev. 1963, 190 p.

8. Watt BK, Merrill AL: Energy value of foods—basis and derivation. US Dept Agric. Handbook 74, Rev. 1973, 105 p.

9. Turco SJ: Inaccuracies in IV flow rates. Amer. J. IV Therapy, April-May, 58–74, 1978.

10.

10. Long CL , Carlo MA , Schaffel N et al: A continuous analyzer for monitoring respiratory gases and expired radioactivity in clinical studies. Metabolism 28:320, 1979.

11.

11. Moore FD : Metabolic Care of the Surgical Patient. Philadelphia, W.B. Saunders Co., 1959, p. 266–275.

12.

12. Bistrian BR , Blackburn GL : Cellular immunity in semi-starved states in hospitalized adults. Amer. J. Clin. Nutr. 28:1148–1155, 1975.

13.

13. Rutten P , Blackburn GL , Flatt JP et al: Determination of optimal hyperalimentation infusion rate. J. Surg. Res. 18:477–483, 1975.

14.

14. Long CL , Schaffel N , Schiller WR et al: Increases in metabolic expenditure as measured by gas exchange in injured and ill patients. Am. J. Paren. & Ent. Nutr. 3:21A, 1979.

15.

15. Dubois D , Dubois EF : A formula to estimate the approximate surface area if height and weight be known. Arch. Int. Med. 17:865–871, 1916.

16.

16. Henry RJ : Clinical Chemistry—Principles and Techniques. Harper and Row Publishers, 1974, 2nd ed., pp. 877–878.

17.

17. Oser BL, ed: Hawk's Physiological Chemistry. New York, Mc Graw-Hill Book Co., 1965.

Body Composition Changes in the Critically III Patient: Emphasis on Water Balance

Abstract

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