Systemic involvement includes hepatomegaly, cardiac enlargement, and tachycardia. Visceral proteins are indicators of the patient's protein status. Visceral protein status can be determined by indicators such as serum albumin, transferrin, and prealbumin. These data are usually available in the acute care setting, but may need to be obtained for home care clients. Another more sensitive indicator of visceral protein is serum transferrin.
Serum transferrin responds quicker to acute changes in protein status.
Transferrin has a half-life of 7 days and is therefore considered the better indicator of visceral protein stores. Nutritional Support Optimal nutrition support in the patient with a wound is essential for wound healing. Nutritional support for patients with wounds should include a balanced intake of carbohydrates, fat, protein, electrolytes, vitamins, and minerals. The type of nutrition as well as the route of administration are also important factors to consider. If patients are able to maintain an oral diet, they should be encouraged to eat a well-balanced diet including foods high in protein.