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Total Parenteral Nutrition for Children

Total parenteral nutrition is a method of providing complete nutrition to infants or children through a central line when feeding through the gastrointestinal tract is impossible, inadequate, or hazardous. It involves a highly concentrated solution of glucose, amino acids, vitamins, and minerals given intravenously. TPN is indicated for conditions like intestinal failure, organ failure, or hypercatabolism in neonates and children.

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154 views2 pages

Total Parenteral Nutrition for Children

Total parenteral nutrition is a method of providing complete nutrition to infants or children through a central line when feeding through the gastrointestinal tract is impossible, inadequate, or hazardous. It involves a highly concentrated solution of glucose, amino acids, vitamins, and minerals given intravenously. TPN is indicated for conditions like intestinal failure, organ failure, or hypercatabolism in neonates and children.

Uploaded by

ankita gupta
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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TOTAL PARENTERAL NUTRITION

Definition:

Total parenteral nutrition is defined as method of nutrition given for total


nutritional needs of infants or children where lives are threatened because feeding
by ways of the GI tract is impossible, inadequate or hazardous.

TPN combines highly concentrated solution of glucose, amino acids, vitamins and
minerals and is given through a central line.

Indications:

Neonates

 Absolute Indications: Intestinal failure, necrotizing enterocolitis, congenital


anomalies like tracheo-esophageal fistula.
 Relative Indications: Hyaline membrane disease, promotion of growth in
preterm infants, possible prevention of necrotizing enterocolitis.

Infants and children:

 Intestinal Failure: Short gut, protracted diarrhea, chronic intestinal pseudo-


obstruction, post-operative abdominal or cardiothoracic surgery.
 Organ Failure: Acute renal failure, acute liver failure.
 Hyper catabolism: extensive burns, severe trauma.

Contraindications:

 Hyperbilirubinemia
 Azotemia
 Shock
 Thrombocytopenia
 RDS

Nutrients:

 Calories: Newborn-110-125 kcal/day and children 100-110 kcal/kg/day.


 Glucose: 10-30 g/kg/day at 6 mg/kg/min rate of infusion.
 Lipids: Intralipid with 10% soyabean oil 1-3 g/kg/day.
 Aminoacid: crystalline aminoacids 2-5 g/kg/day.
 Vitamins and mineral: Standard multivitamin are usually given.
 Fluids: 70-150 ml/kg.

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