GUIDELINES FOR REFEEDING THE MARASMIC PATIENT

被引：34

作者：

APOVIAN, CM ^{[1
]}

MCMAHON, MM ^{[1
]}

BISTRIAN, BR ^{[1
]}

机构：

[1] MAYO CLIN & MAYO GRAD SCH MED, NUTR SUPPORT SERV, ROCHESTER, MN 55901 USA

来源：

CRITICAL CARE MEDICINE | 1990年 / 18卷 / 09期

关键词：

D O I：

10.1097/00003246-199009000-00021

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Nutritional support of the malnourished patient can be lifesaving. However, the efficacy of total parenteral nutrition in this setting depends on: a) careful estimation of energy requirements, using the Haris-Benedict equation or indirect calorimetry; b) minimizing the fluid retention which invariably complicates refeeding in marasmus; c) adequate repletion of P, K, and Mg on a daily basis; and d) accurate assessment of the rate of weight regain.

引用

页码：1030 / 1033

页数：4

共 34 条

[1]

ABBOTT WC, 1984, ARCH SURG-CHICAGO, V119, P1367

[2] GLYCOGEN-SYNTHESIS VERSUS LIPOGENESIS AFTER A 500 GRAM CARBOHYDRATE MEAL IN MAN [J].

ACHESON, KJ ;

FLATT, JP ;

JEQUIER, E .

METABOLISM-CLINICAL AND EXPERIMENTAL, 1982, 31 (12) :1234-1240

[3] RESPIRATORY CHANGES INDUCED BY THE LARGE GLUCOSE LOADS OF TOTAL PARENTERAL-NUTRITION [J].

ASKANAZI, J ;

ROSENBAUM, SH ;

HYMAN, AI ;

SILVERBERG, PA ;

MILICEMILI, J ;

KINNEY, JM .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (14) :1444-1447

[4] IMPAIRED LEUKOCYTE FUNCTION IN PATIENTS WITH POORLY CONTROLLED DIABETES [J].

BAGDADE, JD ;

ROOT, RK ;

BULGER, RJ .

DIABETES, 1974, 23 (01) :9-15

[5]

BAXTER J K, 1990, Critical Care Medicine, V18, pS207, DOI 10.1097/00003246-199012001-00061

[6]

Bistrian B. R., 1983, Clinics in Anaesthesiology, V1, P693

[7] CELLULAR IMMUNITY IN ADULT MARASMUS [J].

BISTRIAN, BR ;

SHERMAN, M ;

BLACKBURN, GL ;

MARSHALL, R .

ARCHIVES OF INTERNAL MEDICINE, 1977, 137 (10) :1408-1411

[8]

BISTRIAN BR, 1984, NUTRITIONAL ASSESSME, P183

[9] HUMAN ENERGY-REQUIREMENTS - OVERESTIMATION BY WIDELY USED PREDICTION EQUATION [J].

DALY, JM ;

HEYMSFIELD, SB ;

HEAD, CA ;

HARVEY, LP ;

NIXON, DW ;

KATZEFF, H ;

GROSSMAN, GD .

AMERICAN JOURNAL OF CLINICAL NUTRITION, 1985, 42 (06) :1170-1174

[10] EFFECT OF INSULIN ON RENAL HANDLING OF SODIUM, POTASSIUM, CALCIUM, AND PHOSPHATE IN MAN [J].

DEFRONZO, RA ;

COOKE, CR ;

ANDRES, R ;

FALOONA, GR ;

DAVIS, PJ .

JOURNAL OF CLINICAL INVESTIGATION, 1975, 55 (04) :845-855

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