Enteral and parenteral nutrition considerations in pediatric patients

2019 ◽  
Vol 76 (19) ◽  
pp. 1492-1510
Author(s):  
Mary Petrea Cober ◽  
Kathleen M Gura
Keyword(s):  
Best Practices ◽  
Parenteral Nutrition ◽  
Pediatric Patients ◽  
Medication Administration ◽  
Nutrition Support ◽  
Disease States ◽  
Pediatric Populations ◽  
Enteral And Parenteral Nutrition ◽  
Indications For Use ◽  
Selection Of

Abstract Purpose Current clinical practice guidelines on management of enteral nutrition (EN) and parenteral nutrition (PN) in pediatric patients are reviewed. Summary The provision of EN and PN in pediatric patients poses many unique considerations and challenges. Although indications for use of EN and PN are similar in adult and pediatric populations, recommended EN and PN practices differ for pediatric versus adult patients in areas such as selection of EN and PN formulations, timing of EN and PN initiation, advancement of nutrition support, and EN and PN goals. Additionally, provision of EN and PN to pediatric patients poses unique compounding and medication administration challenges. This article provides a review of current EN and PN best practices and special nutrition considerations for neonates, infants, and other pediatric patients. Conclusion The provision of EN and PN to pediatric patients presents many unique challenges. It is important for pharmacists to keep current with pediatric- and neonatal-specific guidelines on nutritional management of various disease states, as well as strategies to address compounding and medication administration challenges, in order to optimize EN and PN outcomes.

scholarly journals The Influence of Pediatric Nutrition Support Team on Hospitalized Pediatric Patients Receiving Parenteral Nutrition

2020 ◽  
Vol 12 (1) ◽  
pp. 7-13
Author(s):  
Sijin Baek ◽  
Juhyun Rho ◽  
Hyung Wook Namgung ◽  
Eunsook Lee ◽  
Euni Lee ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Pediatric Patients ◽  
Nutrition Support ◽  
Support Team ◽  
Pediatric Nutrition

scholarly journals Medication Use in Schools: Current Trends, Challenges, and Best Practices

2020 ◽  
Vol 25 (1) ◽  
pp. 7-24
Author(s):  
Susan M. Butler ◽  
Elizabeth A. Boucher ◽  
Jennifer Tobison ◽  
Hanna Phan
Keyword(s):  
Best Practices ◽  
Policy Development ◽  
School Setting ◽  
Medication Use ◽  
Medical Personnel ◽  
Medication Administration ◽  
Self Administration ◽  
Disease States ◽  
Current Trends ◽  
Medical Emergencies

There are a significant number of students on maintenance medications for chronic diseases or with diagnoses that may result in medical emergencies requiring administration of medications in school. With passing of legislation in all 50 states allowing self-administration of emergency medications for allergic reactions and asthma, the landscape of medication use in schools is changing. These changes have raised questions about the need for legislation or policy development relating to self-carrying and self-administration of medications for other disease states, undesignated stock of emergency medications, and administration of medications by non-medical personnel. Medication administration in the school setting has become a complex issue, and this review will discuss current legislation related to medication use in schools and provide best practices for administering medications to children and adolescents while at school.

Enteral and Parenteral Nutrition

2017 ◽  
Author(s):  
Kris M. Mogensen ◽  
Malcolm K. Robinson
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Ethical Issues ◽  
Nutritional Assessment ◽  
Enterocutaneous Fistula ◽  
Pelvic Abscess ◽  
Nutrition Support ◽  
Tube Placement ◽  
Fistula Formation ◽  
Enteral And Parenteral Nutrition

Alternative routes of nutrient administration are available for patients who are unable to eat or digest sufficient food to prevent malnutrition. These routes include enteral (administered through the gastrointestinal tract) and parenteral (administered intravenously). This review details the clinical consequences of malnutrition, nutritional assessment, the benefits of nutrition support therapy,  determining the nutrient prescription, special considerations in nutrition support therapy, aspects of obtaining enteral or parenteral access, monitoring of patients receiving nutrition support therapy, and complications and ethical issues associated with enteral and parenteral nutrition. Figures include algorithms showing the identification of malnutrition, the nutrition support decision process, and the approach to gastric residual monitoring; nasogastric tube displacement leading to pneumothorax; proper placement of a long or “midline” catheter versus a peripherally inserted central catheter; and photographs of a 43-year-old man with Crohn disease complicated by enterocutaneous fistula formation, distal small bowel obstruction, and evisceration of the small bowel after developing a pelvic abscess. Tables list acute illness- or injury-related malnutrition; chronic disease−related malnutrition; social or environmental circumstances−related malnutrition; indications and contraindications to enteral and parenteral nutrition; selected examples of predictive equations; electrolyte provision in parenteral nutrition; parenteral vitamin and trace element requirements; complications associated with enteral and parenteral nutrition; and indications, contraindications, and complications of gastrostomy tube placement. This review contains 6 highly rendered figures, 11 tables, and 167 references.

Our experience of enteral and parenteral nutrition support assessment in Turkey

2016 ◽  
pp. 1040-1044
Author(s):  
Deniz Erdem ◽  
Piril Tuncay ◽  
Dilek Atabey ◽  
Mutlu Doganay ◽  
Arzu sahna ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Nutrition Support ◽  
Enteral And Parenteral Nutrition
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