RT Book, Section A1 Saunders, Katherine H. A1 Igel, Leon I. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1193133814 T1 Indications for Nutritional Support T2 Current Medical Diagnosis & Treatment 2023 YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264687343 LK accessmedicine.mhmedical.com/content.aspx?aid=1193133814 RD 2023/09/26 AB Nutritional support is indicated in patients who are malnourished or at risk of malnourishment. Common indications for enteral nutrition include dysphagia, mechanical ventilation preventing oral nutrition intake, the need to feed the gut distal to an obstruction or high-output fistula, and hypermetabolic disease states, such as burns and trauma. Parenteral nutrition is required when enteral nutrition is contraindicated, or when the GI tract has diminished function due to underlying conditions, including small bowel obstructions, paralytic ileus, short bowel syndrome, and fistulae. In most other conditions, it has been difficult to prove the efficacy of nutritional support over treatment without such support.