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  • Title: Rationale and guidelines for parenteral and enteral transition feeding of the 3- to 30-kg child.
    Author: Braunschweig CL, Wesley JR, Clark SF, Mercer N.
    Journal: J Am Diet Assoc; 1988 Apr; 88(4):479-82. PubMed ID: 3127453.
    Abstract:
    To provide optimal nutrition support for the pediatric patient in transition from parenteral to enteral support, the clinician must select an appropriate formula, design a feeding regimen, and taper the parenteral support accordingly. Formula selection is based on the child's age, any overriding disease entity, and the caloric density, osmolarity, carbohydrate and fat source, protein content, and nutrient complexity of the formula. The feeding regimen is designed to allow for adaptive increases in digestive enzymes and digestive surface area within the gut. Small advances in volume are made first; increases in concentration of the formula follow. A systematic, six-step method for the progression of enteric support and the tapering of parenteral support provides the clinician with guidelines for managing this interval.
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