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Type: Artigo de periódico
Title: [should Pediatric Parenteral Nutrition Be Individualized?].
Author: Freitas, Renata Germano Borges de Oliveira Nascimento
Nogueira, Roberto José Negrão
Saron, Margareth Lopes Galvão
Lima, Alexandre Esteves Souza
Hessel, Gabriel
Abstract: Parenteral nutrition (PN) formulations are commonly individualized, since their standardization seem inadequate for the pediatric population. This study aimed to evaluate the nutritional state and the reasons for PN individualization in pediatric patients using PN hospitalized in a tertiary hospital in Campinas, São Paulo. This longitudinal study comprised patients using PN followed by up to 67 days. Nutritional status was classified according to the criteria established by the World Health Organization (WHO) (2006) and WHO (2007). The levels of the following elements on blood were analyzed: sodium, potassium, ionized calcium, chloride, magnesium, inorganic phosphorus and triglycerides (TGL). Among the criteria for individualization, were considered undeniable: significant reduction in blood levels of potassium (<3 mEq/L), sodium (<125 mEq/)L, magnesium (<1 mEq/L), phosphorus (<1.5 mEq/L), ionic calcium (<1 mmol) and chloride (<90 mEq/L) or any value above the references. Twelve pediatric patients aged 1 month to 15 years were studied (49 individualizations). Most patients were classified as malnourished. It was observed that 74/254 (29.2%) of examinations demanded individualized PN by indubitable reasons. The nutritional state of patients was considered critical in most cases. Thus, the individualization performed in the beginning of PN for energy protein adequacy was indispensable. In addition, the individualized PN was indispensable in at least 29.2% of PN for correction of alterations found in biochemical parameters.
Subject: Child
Estado Nutricional
Nutritional Status
Nutrição Parenteral
Parenteral Nutrition
Citation: Revista Paulista De Pediatria : Orgão Oficial Da Sociedade De Pediatria De São Paulo. v. 32, n. 4, p. 326-32, 2014-Dec.
Rights: aberto
Identifier DOI: 10.1016/j.rpped.2014.06.006
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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