Comprehensive measures should be taken for malnourished patients. The treatment principles are to remove the cause of the disease, adjust diet, supplement nutrients, prevent and treat comorbidities, increase appetite, and improve digestion ability. , 1. Hypoglycemia
When clinical symptoms of hypoglycemia occur, glucose 0.5g/kg with a concentration of 25% or 50% should be injected intravenously immediately. Generally, the symptoms of hypoglycemia can be improved and can be repeated if necessary. After that, a diet plus glucose can be provided every hour for the first 24 hours, and blood sugar can be measured every 4 hours for the first 12 hours to observe the recovery. Generally, this can be corrected by eating smaller meals more frequently. , 2. Hypothermia
Hypothermia is mainly caused by insufficient energy supply, temperature regulation dysfunction, low ambient temperature, and sepsis. The main treatment method is to maintain the ambient temperature (30-33℃), especially at night, the temperature cannot be lowered, wrap the body with a hot water bag or other methods, and consume a glucose-containing diet every 2 hours. , 3. Anemia
Mild anemia can be treated through diet and increase the intake of iron-rich foods, such as animal liver, animal blood and lean meat; moderate anemia requires oral iron and vitamin C. Iron injections can also be given based on body weight; severe anemia requires whole blood or red blood cell transfusions. Patients with severe edema are usually not suitable for blood transfusions unless they suffer from collapse or heart failure due to anemia. , 4. Promote protein synthesis
To increase appetite, it is advisable to supplement pepsin, pancreatic enzymes or multi-enzyme preparations to improve appetite and digestion ability. Anabolic steroids such as nandrolone phenylpropionate can promote protein synthesis and increase appetite, but they have a mild sodium retention effect and should be used after the edema subsides. Zinc has the effect of raising the taste threshold and increasing appetite. The use of insulin can increase hunger and increase appetite.