Studies have shown mechanical ventilation can cause elevations in plasma antidiuretic hormone and a reduction in atrial natriuretic hormone. High-calorie diets can translate to higher CO 2 production metabolically. There are studies suggesting that certain amino acids are crucial to the proper function of neurotransmitters and the optimum functioning of the musculature. In other words, if the patient is not nutritionally supported, the body does not have the tools it needs to repair itself and resume normal function. The great thing is the argument is sound.
Metabolic carts are part of acid-base management.
Don't be intimidated by it. No discussion of weaning is complete without some discussion of neuromuscular diseases, an umbrella-like term used to describe a family of conditions, much like COPD is used to describe a host of illnesses like emphysema or chronic bronchitis. In the case of neuromuscular disease, the common denominator is a dysfunction in the way the brain and the nervous system activate the muscles of the body. New Data Guillain-Barre syndrome is the neuromuscular disease most often drilled into us in RCP School. Last year, Henderson et al. reported data from a retrospective chart review of 114 GBS patients who required mechanical ventilation.