Increase in energy expenditure by 100% over normal, or two times greater than normal, is seen in a patient with which of the following?
Resting energy expenditure is decreased following starvation (e.g., in the patient with pyloric obstruction) and increased after the stress of surgery, trauma, or sepsis. The increase in energy expenditure correlates with the severity of insult being 1.2 times greater after minor operation (e.g., right inguinal herniorrhaphy), 1.35 times greater after skeletal trauma (e.g., fractured femur), 1.6 times greater after major sepsis (e.g., perforated diverticulitis), and 2 times greater after severe thermal burns.
Pyloric obstruction from chronic duodenal ulcer
Fractured femur
Perforated diverticulitis of colon
Severe thermal burns of more than 30% total body surface area (BSA)
Wounds, Tissue Repair & Scars