What is the current recommended protein intake for stressed trauma patients?

What is the current recommended protein intake for stressed trauma patients?

• A. 0.5-1.0 g/kg/day
• B. 2.5-3.0 g/kg/day
• C. 1.5-2.0 g/kg/day
• D. 3.0-4.0 g/kg/day

Answer: (C)

In stressed trauma patients, the body enters a hypermetabolic, highly catabolic state that rapidly breaks down protein to fuel energy and tissue repair. To counteract this and support wound healing, immune function, and preservation of lean body mass, protein needs are increased beyond normal levels but kept within a range that can be tolerated and utilized efficiently. The most appropriate target is about 1.5 to 2.0 g of protein per kilogram of body weight per day. This amount provides enough amino acids to promote nitrogen balance and healing without the diminishing returns and potential risks (such as excessive urea production or renal strain) that come with much higher intakes. Lower protein intake fails to meet the elevated demands of stress, while very high intakes offer little additional benefit for most patients and can increase metabolic burden. Monitor renal function and nitrogen balance and adjust as needed based on tolerance and clinical status.

In stressed trauma patients, the body enters a hypermetabolic, highly catabolic state that rapidly breaks down protein to fuel energy and tissue repair. To counteract this and support wound healing, immune function, and preservation of lean body mass, protein needs are increased beyond normal levels but kept within a range that can be tolerated and utilized efficiently. The most appropriate target is about 1.5 to 2.0 g of protein per kilogram of body weight per day. This amount provides enough amino acids to promote nitrogen balance and healing without the diminishing returns and potential risks (such as excessive urea production or renal strain) that come with much higher intakes. Lower protein intake fails to meet the elevated demands of stress, while very high intakes offer little additional benefit for most patients and can increase metabolic burden. Monitor renal function and nitrogen balance and adjust as needed based on tolerance and clinical status.