Parenteral nutrition.
Indian J Pediatr
;
2008 Apr; 75(4): 377-83
Article
in English
| IMSEAR
| ID: sea-83985
ABSTRACT
Nutritional insufficiency, leading to early growth deficits has long-lasting effects, including short stature and poor neurodevelopmental outcomes. Early enteral feeding is commonly limited by immaturity of gastrointestinal motor function in preterm neonates. To ensure that a stressed premature infant receives an adequate but not excessive amount of glucose, the amount of carbohydrate delivered in the form of dextrose is commonly initiated at the endogenous hepatic glucose production and utilization rate of 4 to 6 mg/kg/min; and 8 to 10 mg/kg/min in ELBW infants. The early provision of protein is critical to attain positive nitrogen balance and accretion as premature babies lose approximately 1% of their protein stores daily. Aminoacid can be used at concentrations of 3-3.5 g/kg/day and lipid at 3.5-4 g/kg/day as long as the fat intake remains less than 60% of nonprotein calories. Sodium, potassium, chloride, calcium, magnesium and phosphorus need to be provided in PN solution as per their daily needs. Hospital-acquired infection (HAI) is a major complication of PN. All efforts should be made to avoid it.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Body Weight
/
Female
/
Humans
/
Male
/
Energy Intake
/
Infant, Newborn
/
Infant, Premature
/
Weight Gain
/
Intensive Care Units, Neonatal
/
Anthropometry
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Indian J Pediatr
Year:
2008
Type:
Article
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