|Nutritional Requirements in the PICU Patient
Nutritional requirements in the critically ill PICU patient may be significantly different from those of healthy or unstressed children. During periods of injury or illness induced metabolic stress, excess nutritional delivery or "overfeeding" can further increase the metabolic demands on the lungs and liver, and may result in increased mortality. Complications of overfeeding may include:
Determining Calorie and Protein Needs in Critically Ill Children
Studies in critically ill pediatric patients have demonstrated the importance of not using the standard RDA tables initially to calculate energy requirements. The patient's calorie and protein needs may be determined as follows:
Calculation of Catch-Up Growth in the Term Infant and Child
Children who are below normal growth parameters due to chronic undernutrition or illness affecting their nutritional intake and status require additional calories and protein to achieve catch-up growth.
* Age at which present weight is at the 50th %-ile