Current trends in pediatric total parenteral nutrition. 1989

E J Testerman

When a pediatric patient is unable to meet his/her caloric needs, TPN is indicated. This therapy in the pediatric patient, as in adults, must promote anabolism, but also must provide for normal growth and development. In these patients, nutritional support may be considered an emergency due to their limited body stores of essential nutrients. Included in this manuscript are the historical evolution of pediatric TPN, indications for therapy, components of the solution, potential complications, monitoring guidelines, and nursing care. Furthermore, it will be shown how a multidisciplinary approach has made this therapy successful and aided in the decline of morbidity and mortality in selected pediatric patients.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D010289 Parenteral Nutrition, Total The delivery of nutrients for assimilation and utilization by a patient whose sole source of nutrients is via solutions administered intravenously, subcutaneously, or by some other non-alimentary route. The basic components of TPN solutions are protein hydrolysates or free amino acid mixtures, monosaccharides, and electrolytes. Components are selected for their ability to reverse catabolism, promote anabolism, and build structural proteins. Hyperalimentation, Parenteral,Intravenous Hyperalimentation,Nutrition, Total Parenteral,Parenteral Hyperalimentation,Total Parenteral Nutrition,Hyperalimentation, Intravenous
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005767 Gastrointestinal Diseases Diseases in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM. Cholera Infantum,Gastrointestinal Disorders,Functional Gastrointestinal Disorders,Gastrointestinal Disorders, Functional,Disease, Gastrointestinal,Diseases, Gastrointestinal,Functional Gastrointestinal Disorder,Gastrointestinal Disease,Gastrointestinal Disorder,Gastrointestinal Disorder, Functional
D006128 Growth Gradual increase in the number, the size, and the complexity of cells of an individual. Growth generally results in increase in ORGAN WEIGHT; BODY WEIGHT; and BODY HEIGHT.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015362 Child Nutrition Disorders Disorders caused by nutritional imbalance, either overnutrition or undernutrition, occurring in children ages 2 to 12 years. Child Malnutrition,Nutrition Disorders, Child,Child Overnutrition,Malnutrition in Children,Malnutrition, Child,Child Nutrition Disorder,Nutrition Disorder, Child,Overnutrition, Child

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