PEDIATRICS Vol. 71 No. 4 April 1983, pp. 547-552
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Commentary on Parenteral Nutrition

Committee on Nutrition

Nutritional requirements of young infants, both premature and full-term, can be met better by recognizing the absorptive and digestive limitations present. When gastrointestinal disease is superimposed on an immature digestive system, special support frequently is needed to maintain adequate growth. This support can be offered as parenteral nutrition or with specialized enteral feeding techniques and formulations. Because parenteral solutions are formulated to provide complete nutritional support, they may be used for short as well as extended periods of time. Recommendations for use include: 1. Careful catheter placement and confirmation of position by roentgenogram; strict adherence to aseptic techniques and established guidelines of catheter care; and laboratory and clinical monitoring of patients for intolerance. 2. Protein, in the form of crystalline amino acids, should be provided at a rate of 2 to 3 g/kg/d. The concentration of carbohydrate, as glucose (dextrose), should be advanced in a methodical manner to ensure tolerance.




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