Minimize protein breakdown
Initially after major burns, there is a hypometabolic phase, which lasts for 2 or 3 days. A hypermetabolic phase follows, characterized by increased body temperature, oxygen and glucose consumption, carbon dioxide production, glycogenolysis, proteolysis, and lipolysis. This response continues for up to 9 months. A diet high in protein and calories is necessary. Healing, not growth, is the primary consideration. Many children have poor appetites, and supplementation is necessary. Hypoglycemia, not hyperglycemia, can occur from the stress of burn injury because the liver glycogen stores are rapidly depleted.
7th EditionJulie S Snyder, Mariann M Harding 7th EditionGary A. Thibodeau, Kevin T. Patton 7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 20th EditionClem Thompson, R T Floyd