Manual of Clinical Nutrition

Burns

Manual of Clinical Nutrition Management III- 9 Copyright © 2013 Compass Group, Inc.

Micronutrient Requirements (1, 3, 17)
Major burns (>20% TBSAB) in adults and children at
least 3 years old

One multivitamin daily
Vitamin C 500 mg twice dailya
Vitamin A 10,000 IU daily
Zinc 45 - 50 mg daily or 220 mg (once daily)a
aRecommended delivery in suspension for tube feeding because oral vitamin C and zinc in large doses may precipitate nausea or
vomiting (3).

References

1. Burns. In: Nutrition Care Manual. Academy of Nutrition and Dietetics; Updated annually. Available at: nutritioncaremanual.org. Accessed
   February 4, 2013.


2. Mayes T, Gottschlich MM. Burns and wound healing. In: Gottschlich MM, ed. The Science and Practice of Nutrition Support: A Case-
   Based Core Curriculum. Dubuque, Iowa: American Society of Enteral and Parenteral Nutrition; 2001:338-341.


3. Collier BR, Cherry-Bukowiec, Mills ME. Trauma, Surgery, and Burns. In: Mueller CM ed. The A. S. P. E. N. Adult Nutrition Support
   Core Curriculum. 2nd ed. Silver Spring, MD: American Society of Enteral and Parenteral Nutrition; 2012:392-411.


4. Waymack JP, Herndon DN. Nutritional support of the burned patient. World J Surg. 1992;16:80-86.


5. Rodriguez DJ. Nutrition in major burn patients: state of the art. Support Line: A Publication of Dietitians in Nutrition Support.
   1995;7:1-8.


6. Critical Illness Evidence-Based Nutrition Practice Guideline. Academy of Nutrition and Dietetics Evidence Analysis Library. Academy
   of Nutrition and Dietetics; 2012. Available at: http://www.andevidencelibrary.com. Accessed January 16, 2013.


7. Curreri PW, Richmond D, Marvin J, Baxter CR. Dietary requirements of patients with major burns. J Am Diet Assoc. 1974; 65:415-
   417.


8. Gottschlich MM, Ireton-Jones CS. The Curreri formula: a landmark process for estimating the caloric needs of burn patients. Nutr
   Clin Pract. 2001;16:172-173.


9. Spodaryk M, Kobylarz K. The usability of harris-benedict and curreri equations in nutritional management of thermal injuries.
   Annals of Burns and Fire Disasters. 2005;18:117-121.


10. Mayes T, Gottschlich M, Khoury J, Warden GD. Evaluation of predicted and measured energy requirements in burned children. J
    Am Diet Assoc. 1996;96:24-29.


11. Hildreth M, Herndon DN, Desai MH, Broemeling LD. Caloric requirements of patients with burns under one year of age. J Burn Care
    Rehabil. 1993;14:108-112.


12. Curreri PW, Richmond D, Marvin J, Baxter CR. Dietary requirements of patients with major burns. J Am Diet Assoc. 1974;65:415-417.


13. Hildreth M, Gottschlich M. Nutritional support of the burned patient. In: DN Herndon, ed. Total Burn Care. Philadelphia, Pa: WB
    Saunders; 1996.


14. Deitch EA. Nutritional support of the burn patient. Crit Care Clin. 1995;11:735-750.


15. O'Neil CE, Hutsler D, Hildreth MA. Basic nutritional guidelines for pediatric burn patients. J Burn Care Rehabil. 1989;10:278-284.


16. Farrell K, Bradley S. Estimation of nitrogen requirement in patients with burns. J Burn Care Rehabil. 1994;15:174.


17. Gottschlich MM, Warden GD. Vitamin supplementation in the patient with burns. J Burn Care Rehabil. 1990;11:257-279.


18. A.S.P.E.N. Board of Directors. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. J Parenter
    Enteral Nutr. 2002;26(suppl): 88SA-93SA.


19. Hansen T, Thiel S, Wouters P, Christiansen JS, Van de Berghe G. Intensive insulin therapy exerts anti-inflammatory effects in
    critically ill patients, as indicated by circulating mannose-binding lectin and C-reactive protein levels. J Clin Endocrinol Metab.
    2003;88:1082-1088.


20. Van den Berghe G, Wouters PJ, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferninande P, Lauwers P, Bouillon R.
    Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345:1359-1367.