Metabolic stressors, such as fever and use
of steroids change nutritional needs.
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The score is additive here.
For example, a patient with a fever over 103 and who is on 10 mg of
steroids, would have a combined score of 5 points.
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The value is recorded in the
box and transferred to page 1 in Box C, of the field titled
Disease and its relation to nutritional requirements.
Now we move on to metabolic stress and
changes in muscle and body fat.
Here are the particulars of
the physical exam as it applies
to nutritional assessment. |