Explain the Flow or Recovery Period - Dietary Management for Burns?
After 48 to 72 hours, fluids and electrolytes are reabsorbed into the general circulation and excess fluid is excreted. Fluid balance is gradually reestablished and massive tissue loss is reversed. Fluid intake and output must be checked to prevent dehydration or over hydration. The patient usually returns to pre- injury weight by the end of first week and adequate bowel function returns. At this time, increased nutritional needs must be met for the following reasons:
- Replace losses of protein and electrolytes due to burn injury.
- Replace lean body mass due to extensive tissue breakdown.
- Meet increased metabolic needs for energy due to sepsis or Fever, increasing the need for carbohydrates and B vitamins. Minerals and vitamins are also needed for tissue regeneration.
- Providing healthy tissue for subsequent successful skin grafting.