By Alan P Ladd, Frederick J Rescorla, Jay L Grosfeld
Handbook of Pediatric Surgical sufferer Care makes a speciality of the decision-making strategy within the total administration of the pediatric surgical sufferer and offers directions for prognosis. The ebook covers issues starting from a large spectrum of neonatal stipulations and surgical severe care to different youth afflictions, pediatric melanoma and the injured baby. It additionally specializes in the present administration of universal early life stipulations together with appendicitis, pyloric stenosis and hernias. the aim of this guide is to supply a quick, simply obtainable, fast resource of latest info to scholars, citizens and practitioners taking good care of babies and kids with surgical issues.
Readership: Undergraduate clinical scholars, graduate surgical citizens, post-graduate complex pediatric surgical residents/fellows, pediatric surgical procedure surgeon extenders, really expert nurses.
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1 These are outlined in Tables 3 and 4. Parenteral calorie and protein goals are approximately 10% lower than enteral goals due to the lack of energy spent on digestion and complete absorption. Calorie and protein goals are adjusted according to the child’s growth. indd 37 10/8/2013 9:20:03 AM b1492 38 Handbook of Pediatric Surgical Patient Care Section 1: Physiologic Considerations of the Newborn/Child Parenteral carbohydrate source is dextrose. 4 calories per gram. Total goal is < 60% of calories from dextrose.
8. Holliday MA, Segar WE. (1957) The maintenance need for water in parenteral fluid therapy. Pediatrics 19:823. 9. Duke T, Molyneux EM. (2003) Intravenous fluids for seriously ill children: Time to reconsider. Lancet 362:1320. 10. So KW, Fok TF, Ng PC, et al. (1997) Randomised controlled trial of colloid or crystalloid in hypotensive preterm infants. Arch Dis Child Fetal Neonatal Ed 76(1):43 –46. 11. Finberg L. (1973) Hypernatremic (hypertonic) dehydration in infants. N Engl J Med 289:196. 12. Adrogué HJ, Madias NE.
5 the child’s growth will assist in establishing the need for normal growth vs. catch-up growth, thus establishing goals for both weight and growth rate. Maintenance fluid requirements are typically based on the Holliday– Segar Method as described in Table 2. Fluid volume for the PN mixture is generally determined based on maintenance fluid needs unless patient is fluid restricted or has additional fluid requirements due to enteric or insensible losses. 1 These are outlined in Tables 3 and 4. Parenteral calorie and protein goals are approximately 10% lower than enteral goals due to the lack of energy spent on digestion and complete absorption.