Severe Traumatic Brain Injury in Medicine / Internal Medicine — 45yo Man | Neurology | SMLE Q#759

SMLE Question #759

Medicine / Internal Medicine Neurology
Last updated: February 2026
A 45-year-old man is in the ICU with severe traumatic brain injury after a motor vehicle collision. CT head shows diffuse cerebral oedema without a mass lesion. He is intubated and starting enteral feeding via a nasogastric tube. The team is planning macronutrient composition to minimise increases in CO2 production that could worsen intracranial dynamics. Which major nutrient should be most restricted in his nutritional plan?

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