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...Learning objectives describe metabolic and nutritional changes during critical illness discuss nutrition assessment in the icu patients review current guidelines for provision of support adult critically ill definition a patient american association care nurses are defined as those who at high risk actual or potential life threatening health problems more is likely he she to be highly vulnerable unstable complex thereby requiring intense vigilant nursing malnutrition plays key role recovery from up have preexisting disorders well nourished prior admission develop rapidly demands healing rapid fluid shifts loss specific vitamins trace elements extent muscle wasting weight inversely correlated with long term survival physiological imbalanced hormone levels catecholamines excess liver glucose insulin resistance cortisol glucagon production growth increased catabolism proinflammatory cytokines...