Laboratory test results and notable clinical features according to net energy intake after initiating oral intake
| POD 5 | POD 6 | POD 7 | POD 9 | |
|---|---|---|---|---|
| Infused caloric fluid | 5% DNK1 1,440 mL | Nutriflex®peri 40 |
||
| Oral intake | SOW | SFD Breakfast: whole meal (300 kcal) Lunch: 2/3 meal (200 kcal) Dinner: 1/4 meal (75 kcal) |
SBD (minimal) | None (intubation status) |
| Total calories (kcal) | 244.8 | 575 | <200 | 480 |
| Biochemical parameters (reference range) | ||||
| White blood cell count (/μL) (4,000~1,000) | 7,480 | NP | 6,630 | 17,670 |
| Hemoglobin (g/dL) (13.1~17.5) | 9.4 | NP | 9.2 | 11.6 |
| Hematocrit (%) (39.0~52.0) | 29.2 | NP | 28.6 | 36.6 |
| Platelet count (×1,000/μL) (140~400) | 67 | NP | 94 | 142 |
| Na (mEq/l) (133~145) | 134 | NP | 132 | 135 |
| K (mEq/l) (3.5~5.5) | 3.6 | NP | 3.5 | 2.68 |
| Cl (mEq/l) (95~110) | 99 | NP | 95 | 95 |
| Calcium (mg/dL) (8.6~10.7) | 8.6 | NP | 8.0 | 8.3 |
| Phosphate (mg/dL) (2.5~4.5) | 2.0 | NP | 1.6 | 2.5 |
| Glucose (mg/dL) (70~100) | 92 | NP | 83 | 91 |
| Albumin (mg/dL) (3.5~5.2) | 3.1 | NP | 2.7 | 2.8 |
| BUN (mg/dL) (6~20) | 18.7 | NP | 13.7 | 23.5 |
| Creatinine (mg/dL) (0.5~1.2) | 1.06 | NP | 1.00 | 1.17 |
| Intake/output (mL/mL) | 3,000/2,920 | 2,935/3,450 | 2,935/3,450 | 1,440/1,340 |
| Intraperitoneal drainage amount (mL) | 920 | 390 | 1,220 | 160 |
| Injections | Hartmann’s solution Levofloxacin 750 mg Piperacillin/ tazobactam 4.5 g | Hartmann’s solution Tamipool® |
Hartmann’s solution KH2PO4 20 mL Tamipool® |
Levofloxacin 750 mg Piperacillin/ tazobactam 4.5 g |
| Body weight (kg) | 50.9 | 51.2 | 53.8 | 56.1 |
| Notable clinical features | Pitting edema HAP with bilateral pleural effusion | Pitting edema HAP with bilateral pleural effusion | Pitting edema HAP with bilateral pleural effusion | Pitting edema HAP with bilateral pleural effusion |
POD = postoperative day; 5% DNK1 = dextrose 5% (187 kcal/bag); SOW = sips of water; SFD: semi-fluid diet; SBD = soft blended diet; NP = not performed; HAP = hospital-acquired pneumonia.
aNutriflex®peri 40 (B. Braun Medical AG, Crissier, Switzerland); bTamipool® (BCWP, Yeoju, Korea).